Individual
DINA RAE KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1920 COLLEGE WAY, FERGUS FALLS, MN 56537-1060
(701) 232-6224
(701) 232-4687
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
(701) 232-4687
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337149200
—
MN
01
—
436T2PE
BLUE CROSS
MN
Enumeration date
08/29/2006
Last updated
12/20/2023
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