Wahlstrom, Gregg

Wahlstrom, Gregg is an individual health care provider with primary practice located at 14000 Fairview Dr , Burnsville MN 55337-5713. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wahlstrom, Gregg can be contacted via phone (952) 993-8608.

Contact Information

Primary practice address
14000 Fairview Dr Burnsville MN 55337-5713
Phone: (952) 993-8608
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2420 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 194 Minnesota

Profile Details

NPI number 1457339012
LBN Legal business name Wahlstrom, Gregg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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