Provider Demographics
NPI:1174066658
Name:KALINA, ASHLEY LYNN (LMHC, LMFT, LPCC)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:LYNN
Last Name:KALINA
Suffix:
Gender:F
Credentials:LMHC, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 143
Mailing Address - Street 2:
Mailing Address - City:KNIFE RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55609-4400
Mailing Address - Country:US
Mailing Address - Phone:651-341-0581
Mailing Address - Fax:813-636-8855
Practice Address - Street 1:120 7TH ST STE 101
Practice Address - Street 2:
Practice Address - City:TWO HARBORS
Practice Address - State:MN
Practice Address - Zip Code:55616-1563
Practice Address - Country:US
Practice Address - Phone:813-445-6078
Practice Address - Fax:813-636-8855
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-01
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01793101YM0800X
FLMT3409106H00000X
FLMH15590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022454300Medicaid