Provider Demographics
NPI:1568507713
Name:DAHLOF, KAROL JOY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KAROL
Middle Name:JOY
Last Name:DAHLOF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6629 NEWTON AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2135
Mailing Address - Country:US
Mailing Address - Phone:952-541-4799
Mailing Address - Fax:952-541-4831
Practice Address - Street 1:1000 SHELARD PKWY
Practice Address - Street 2:SUITE 260
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-1053
Practice Address - Country:US
Practice Address - Phone:952-541-4799
Practice Address - Fax:952-541-4831
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN969106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN520P6DAOtherBLUE CROSS BLUE SHIELD MN