Individual
GREGG WAHLSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8608
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2420
MN
106H00000X
Marriage & Family Therapist
Primary
194
MN
Other
Enumeration date
01/04/2006
Last updated
09/11/2025
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