MEDICARE: DANELLE MARIE ROHWEDER 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	05446	MN

General Provider Information

NPI Number	:	1588387922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELLE MARIE ROHWEDER LPCC

Provider Business Mailing Address
First Line	:	1900 SILVER LAKE RD NW STE 110
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-1789
Country	:	US
Telephone Number	:	651-628-9566
Fax Number	:	651-628-0411

Provider Business Practice Location Address
First Line	:	14050 NICOLLET AVE STE 301
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-5739
Country	:	US
Telephone Number	:	651-313-8080
Fax Number	:	651-925-0610

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

Provider Enumeration Date	:	09/21/2022
Last Update Date	:	05/27/2026

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