Dahl, Pamela Jean

Dahl, Pamela Jean is an individual health care provider with primary practice located at Woodland Centers 1125 6Th Street Se, Willmar MN 56201-4675. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dahl, Pamela Jean can be contacted via phone (320) 231-9148.

Contact Information

Primary practice address
Woodland Centers 1125 6Th Street Se Willmar MN 56201-4675
Fax: (310) 231-9140
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 863 Minnesota

Profile Details

NPI number 1720147911
LBN Legal business name Dahl, Pamela Jean
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720147911 NPPES
Other 1013678 PREFERRED ONE
Other 115372 PREFERRED ONE
Other 6262650 PREFERRED ONE
MEDICAID 230219500 PREFERRED ONE
Other 6H667DA PREFERRED ONE

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