Individual provider · Type 1 NPI

Gregg Wahlstrom

Marriage & Family Therapist · Burnsville, MN

NPI number 1457339012 Active

Practice location

14000 Fairview Dr
Burnsville, MN 55337-5713

Call (952) 993-8608 Map

Mailing address

6465 Wayzata Blvd, Ste 315
Minneapolis, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2420 (MN)
Marriage & Family Therapist Primary 106H00000X194 (MN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1457339012

Gregg Wahlstrom's National Provider Identifier is 1457339012, issued on Jan 4, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Burnsville, MN. The record was last updated on Jul 13, 2026.