Provider Demographics
NPI:1679048227
Name:OHRTMAN, MARGUERITE (EDD, LPCC, NCC, ACS)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:OHRTMAN
Suffix:
Gender:F
Credentials:EDD, LPCC, NCC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14195 56TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3036
Mailing Address - Country:US
Mailing Address - Phone:515-450-7476
Mailing Address - Fax:
Practice Address - Street 1:7825 WASHINGTON AVE S STE 500
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-2415
Practice Address - Country:US
Practice Address - Phone:515-450-7476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional