Individual
MR. RICHARD KENNETH DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC, LICSW
Contact information
Practice address
111 MARKET ST STE 3A, WINONA, MN 55987-5532
(507) 454-3900
Mailing address
111 MARKET ST STE 3A, WINONA, MN 55987-5532
(507) 454-3900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2177-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
300306
MN
101YM0800X
Mental Health Counselor
Primary
—
MN
1041C0700X
Clinical Social Worker
4188123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160735
UCARE
MN
01
—
5H947DA
BLUE CROSS & BLUE SHIELD
MN
01
—
HP33638
HEALTHPARTNERS
MN
Enumeration date
03/20/2007
Last updated
09/11/2025
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