Individual provider · Type 1 NPI

Donna Wahlstrom

Addiction (Substance Use Disorder) Counselor · Princeton, MN

NPI number 1144625708 Active

Practice location

105 6th Ave S
Princeton, MN 55371-1819

Mailing address

1264 Harbor St
Ogilvie, MN 56358-3621

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303084 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144625708

Donna Wahlstrom's National Provider Identifier is 1144625708, issued on Oct 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Princeton, MN. The record was last updated on Oct 24, 2014.