Wickstrom, Rachel D

Wickstrom, Rachel D is an sole proprietor health care provider with primary practice located at 332 W Superior St , Duluth MN 55802-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wickstrom, Rachel D can be contacted via phone (218) 722-4379.

Contact Information

Primary practice address
332 W Superior St Duluth MN 55802-1808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300551 Minnesota

Profile Details

NPI number 1295472959
LBN Legal business name Wickstrom, Rachel D
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2022
Last updated May 15th, 2022 - about 4 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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