Individual
DEBORAH KOHLHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1600
(952) 442-4437
(952) 442-3084
Mailing address
2438 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 722-0762
(612) 722-0787
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2975
MN
103TC1900X
Counseling Psychologist
LP2975
MN
Other
Enumeration date
11/13/2008
Last updated
03/25/2019
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