Provider Demographics
NPI:1730969833
Name:CLASSEN, WANDA
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:CLASSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RAMSEY COUNTY MENTAL HEALTH CENTER
Mailing Address - Street 2:1919 UNIVERSITY AVE W SUITE 200
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3435
Mailing Address - Country:US
Mailing Address - Phone:651-266-7856
Mailing Address - Fax:
Practice Address - Street 1:RCMHC/URGENT CARE OF ADULT MENTAL HEALTH
Practice Address - Street 2:402 UNIVERSITY AVE E SUITE A-127
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130
Practice Address - Country:US
Practice Address - Phone:651-266-7900
Practice Address - Fax:651-266-3522
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical