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Individual

MR. LYNN HALMRAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LP

Contact information

Practice address
1606 C 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928
Mailing address
1606 C 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
80-5-22-91-107
ND
103T00000X
Psychologist
Primary
2662
MN
106H00000X
Marriage & Family Therapist
774
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24848
BLUE CROSS
ND
01
326K7HA
BLUE CROSS
MN
Enumeration date
10/03/2006
Last updated
10/30/2007
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