Healthcare Provider Details

I. General information

NPI: 1326964750
Provider Name (Legal Business Name): MARGARET JOAN KROHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 30TH AVE S
MOORHEAD MN
56560-5000
US

IV. Provider business mailing address

514 30TH AVE N APT 21
FARGO ND
58102-1579
US

V. Phone/Fax

Practice location:
  • Phone: 651-313-8080
  • Fax:
Mailing address:
  • Phone: 651-313-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: