Individual
COLLIN JOHN BOHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
079135
IA
Other
Enumeration date
09/09/2015
Last updated
11/30/2023
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