Provider Demographics
NPI:1073751343
Name:AHLFELDT, WILLIAM NOEL (LMFT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NOEL
Last Name:AHLFELDT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 25TH AVE N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-2039
Mailing Address - Country:US
Mailing Address - Phone:701-412-6953
Mailing Address - Fax:
Practice Address - Street 1:102 25TH AVE N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-2039
Practice Address - Country:US
Practice Address - Phone:701-412-6953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1339106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist