Provider Demographics
NPI:1740699164
Name:POHLMAN, LAURA (BA, LADC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:BA, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COLORADO ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-2244
Mailing Address - Country:US
Mailing Address - Phone:612-454-2354
Mailing Address - Fax:651-489-6458
Practice Address - Street 1:135 COLORADO ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107-2244
Practice Address - Country:US
Practice Address - Phone:612-454-2354
Practice Address - Fax:651-489-6458
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303652101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)