Individual
EDWARD KEHRWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LAC
Contact information
Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8844
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8844
(701) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1324
ND
103TC0700X
Clinical Psychologist
185
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05274
BCBS OF ND PIN
—
01
—
P00323097
RR MEDICARE
—
Enumeration date
06/13/2006
Last updated
09/11/2025
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