Wallin, Katherine

Wallin, Katherine is an individual health care provider with primary practice located at 1400 12Th Ave Nw , Austin MN 55912-1912. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wallin, Katherine can be contacted via phone (507) 437-9152.

Contact Information

Primary practice address
1400 12Th Ave Nw Austin MN 55912-1912
Phone: (507) 437-9152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16076 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16076 Minnesota

Profile Details

NPI number 1568561389
LBN Legal business name Wallin, Katherine
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 30th, 2018 - about 7 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 1568561389 NPPES
Minnesota Other 16076 LICENSE NUMBER

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