Healthcare Provider Details

I. General information

NPI: 1376370395
Provider Name (Legal Business Name): ANDREW KUHLMANN MA, LPCC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2024
Last Update Date: 09/14/2024
Certification Date: 09/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 WILLOW ST STE 400
MINNEAPOLIS MN
55403-3251
US

IV. Provider business mailing address

1409 WILLOW ST STE 400
MINNEAPOLIS MN
55403-3251
US

V. Phone/Fax

Practice location:
  • Phone: 612-445-0225
  • Fax:
Mailing address:
  • Phone: 612-460-8642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC04591
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: