Individual
DANIELLE DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 LARKSPUR LN, MARTINSBURG, WV 25403-2173
(617) 272-6277
Mailing address
449 LARKSPUR LN, MARTINSBURG, WV 25403-2173
(617) 272-6277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10980
MA
101YP2500X
Professional Counselor
2722
WV
Other
Enumeration date
09/15/2020
Last updated
03/09/2023
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