Individual
MS. PAMELA JEAN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
WOODLAND CENTERS, 1125 6TH STREET SE, WILLMAR, MN 56201-4675
(320) 231-9148
(310) 231-9140
Mailing address
12017 62ND ST NE, SPICER, MN 56288
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
863
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013678
PREFERRED ONE
—
01
—
115372
UCARE
—
05
—
230219500
—
MN
01
—
6262650
UBH
—
01
—
6H667DA
BLUE CROSS
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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