Individual
ANIKA LAUREN WALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
819 30TH AVE S STE 208, MOORHEAD, MN 56560-5054
(651) 313-8080
Mailing address
819 30TH AVE S STE 208, MOORHEAD, MN 56560-5054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1208-6-15-22-580
ND
101YP2500X
Professional Counselor
Primary
5001
MN
Other
Enumeration date
06/27/2024
Last updated
10/09/2025
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