Wicklund, Kris Carl
Wicklund, Kris Carl is an individual health care provider with primary practice located at 11010 Prairie Lakes Dr Suite 350, Eden Prairie MN 55344-3884. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Wicklund, Kris Carl can be contacted via phone (952) 746-2522.Contact Information
Primary practice address
11010 Prairie Lakes Dr Suite 350
Eden Prairie MN 55344-3884
Phone: (952) 746-2522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303844 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2896 | Minnesota |
Profile Details
| NPI number | 1851706535 |
|---|---|
| LBN Legal business name | Wicklund, Kris Carl |
| Credentials | LMFT, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2014 |
| Last updated | Jul 10th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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