MEDICARE: RAESSA WINKELS LPCC

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	101YP2500X	Professional Counselor	05422	MN

General Provider Information

NPI Number	:	1396472403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAESSA WINKELS LPCC

Provider Business Mailing Address
First Line	:	5125 COUNTY RD 101
Second Line	:	SUITE 300
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	952-932-7277
Fax Number	:	952-932-9827

Provider Business Practice Location Address
First Line	:	5125 COUNTY RD 101
Second Line	:	SUITE 300
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	952-932-7277
Fax Number	:	952-932-9827

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

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	03/02/2026

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