Individual
SHELLEY DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
820 4TH ST S, MOORHEAD, MN 56560-3322
(218) 329-6294
(888) 816-9567
Mailing address
820 4TH ST S, MOORHEAD, MN 56560-3322
(218) 329-6294
(888) 816-9567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1264
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044786
PREFERREDONE
MN
01
—
137074
UCARE MINNESOTA
MN
05
—
1466191
—
ND
01
—
310P2DA
BLUE CROSS BLUE SHIELD
MN
05
—
897300800
—
MN
01
—
HP56456
HEALTHPARTNERS
MN
Enumeration date
05/27/2006
Last updated
12/26/2023
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