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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW WATNEMO, LPCC

Active

MATTHEW WATNEMO, LPCC is a Professional Counselor healthcare provider located in LINO LAKES, Minnesota. NPI 1104653005 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LINO LAKES, MN

Registration Details

NPI Number
1104653005
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2024 (1.7272883914311 yrs)
Last Updated
Sep 16, 2024
License
4590 (MN)

Practice Information

Address
6776 LAKE DR STE 170
LINO LAKES, MN, 550141201
Browse MN providers · Browse ZIP 55014
Phone
6513568741
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in LINO LAKES, MN

Name Credential NPI
MELISSA CHRISTENSEN LADC 1659400422
MS. JENNIFER BRILEY BROWN HOLLOWAY MA, LPCC 1376789305
KEITH MICHAEL TERHAAR 1598066995
UYANGA BAYANDALAI PHD, LPCC, LADC 1891266599
MCKAY TILTON MA, LPCC, LADC 1649928292
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.