Individual
MR. LEE ANDREW FOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
2910 ENLOE ST STE 104, HUDSON, WI 54016-8166
(715) 377-0000
(715) 377-0000
Mailing address
13893 HEATHER ST NW, ANDOVER, MN 55304-7543
(763) 757-7034
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
289-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39-147-000
—
WI
Enumeration date
11/08/2006
Last updated
07/08/2007
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