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NPI Code Detail

MEDICARE: WENDY LEE CANTELLO

MEDICARE: WENDY LEE CANTELLO
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1568736809
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY LEE CANTELLO
Provider Business Mailing Address
First Line : 680 STEWART AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-4117
Country : US
Telephone Number : 651-292-2432
Fax Number : 651-342-2555
Provider Business Practice Location Address
First Line : 680 STEWART AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-4117
Country : US
Telephone Number : 651-292-2432
Fax Number : 651-342-2555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2012
Last Update Date : 03/23/2026

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Directions to “ WENDY LEE CANTELLO ” Practice Location

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