| Allison Wiste Webb, Licsw Pllc | |
|
3700 337th Ave Nw Cambridge MN 55008-7597 | |
| (303) 847-5979 | |
| Not Available |
| Full Name | Allison Wiste Webb, Licsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3700 337th Ave Nw, Cambridge, Minnesota |
| Authorized Official Name and Position | Allison Wiste Webb (OWNER) |
| Authorized Official Contact | 3038475979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Wiste Webb, Licsw Pllc 3700 337th Ave Nw Cambridge MN 55008-7597 Ph: (303) 847-5979 | Allison Wiste Webb, Licsw Pllc 3700 337th Ave Nw Cambridge MN 55008-7597 Ph: (303) 847-5979 |
| NPI Number | 1336965516 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 3577083328 |
|---|---|
| Medicare Enrollment ID | O20250224001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336965516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Allison Hahn Wiste-webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558557942 PECOS PAC ID: 7911228002 Enrollment ID: I20250224001336 |
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