MEDICARE: MRS. WENDY KAY AREND MS, DOCTORAL CANDIDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518841113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY KAY AREND MS, DOCTORAL CANDIDA

Provider Business Mailing Address
First Line	:	2277 HIGHWAY 36 W STE 300
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3830
Country	:	US
Telephone Number	:	612-449-2812
Fax Number	:

Provider Business Practice Location Address
First Line	:	467 W BROADWAY AVE
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-1402
Country	:	US
Telephone Number	:	612-449-2812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

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