MEDICARE: ARIEL MARIE WEBSTER

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	:	1629782487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL MARIE WEBSTER

Provider Business Mailing Address
First Line	:	2505 W 21ST ST APT 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55405-2314
Country	:	US
Telephone Number	:	612-280-6478
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 BRYANT AVE S STE 5
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55405-2819
Country	:	US
Telephone Number	:	612-688-0988
Fax Number	:	651-925-0077

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

Provider Enumeration Date	:	01/06/2023
Last Update Date	:	01/06/2023

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Directions to “ ARIEL MARIE WEBSTER ” Practice Location

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