Debra Susan Wetrosky, M.S., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2984 Issued in MN

Practice address

5842 Old Main St Ste 2
North Branch, MN 55056-6698

Phone

(651) 401-3067

Fax

(651) 674-2534

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1841660198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553710547",
            "telephone_number": "763-221-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 OLD MAIN ST STE 2",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566698",
            "telephone_number": "651-401-3067",
            "fax_number": "651-674-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETROSKY",
        "first_name": "DEBRA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in North Branch, MN
• Providers in North Branch, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.