Individual
SANDRA LEANN AHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
124 GRAYSIDE AVE, MAUSTON, WI 53948-1913
(608) 847-7575
Mailing address
124 GRAYSIDE AVE, MAUSTON, WI 53948-1913
(608) 847-7575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
12236-125
WI
Other
Enumeration date
05/19/2022
Last updated
01/22/2026
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