Individual
MR. HAROLD WAHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA MDIV
Contact information
Practice address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Mailing address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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