Provider Demographics
NPI:1689813388
Name:KUHLMAN, DOLORES DIANE (LSW - LADC)
Entity Type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:DIANE
Last Name:KUHLMAN
Suffix:
Gender:F
Credentials:LSW - LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 MINNESOTA AVE E
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLENWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56334-1666
Mailing Address - Country:US
Mailing Address - Phone:320-634-5027
Mailing Address - Fax:
Practice Address - Street 1:211 MINNESOTA AVE E
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENWOOD
Practice Address - State:MN
Practice Address - Zip Code:56334-1666
Practice Address - Country:US
Practice Address - Phone:320-634-5027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302016101YA0400X
MN12039104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker