Wilde, Mark J

Wilde, Mark J is an individual health care provider with primary practice located at 7051 Brooklyn Blvd Bldg 120 , Brooklyn Center MN 55429-1371. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wilde, Mark J can be contacted via phone (612) 741-8286.

Contact Information

Primary practice address
7051 Brooklyn Blvd Bldg 120 Brooklyn Center MN 55429-1371
Phone: (612) 741-8286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2333 Minnesota

Profile Details

NPI number 1801233192
LBN Legal business name Wilde, Mark J
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2013
Last updated Feb 21st, 2024 - about last year

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.

Request for update

Popular Providers