Dahl, Richard Kenneth

Dahl, Richard Kenneth is an sole proprietor health care provider with primary practice located at 111 Market St Ste 3A , Winona MN 55987-5532. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dahl, Richard Kenneth can be contacted via phone (507) 454-3900.

Contact Information

Primary practice address
111 Market St Ste 3A Winona MN 55987-5532
Phone: (507) 454-3900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300306 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2177-132 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4188123 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Minnesota

Profile Details

NPI number 1225153265
LBN Legal business name Dahl, Richard Kenneth
Credentials MA, LADC, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
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 1225153265 NPPES
Minnesota Other 160735 UCARE
Minnesota Other HP33638 UCARE
Minnesota Other 5H947DA UCARE

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