Individual
DR. MISCHEL B. WALGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3805 KIPLING AVE, MINNEAPOLIS, MN, MINNEAPOLIS, MN 55416-4945
(612) 267-6062
Mailing address
430 OAK GROVE STREET, LORING PARK OFFICE BUILDING, #407, MINNEAPOLIS, MN 55403-3234
(612) 874-8937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP1579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30814WA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/31/2007
Last updated
07/08/2007
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