Folstad, Lee Andrew

Folstad, Lee Andrew is an individual health care provider with primary practice located at 2910 Enloe St Ste 104 , Hudson WI 54016-8166. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Folstad, Lee Andrew can be contacted via phone (715) 377-0000.

Contact Information

Primary practice address
2910 Enloe St Ste 104 Hudson WI 54016-8166
Phone: (715) 377-0000
Fax: (715) 377-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 289-124 Wisconsin

Profile Details

NPI number 1699845487
LBN Legal business name Folstad, Lee Andrew
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699845487 NPPES
Wisconsin MEDICAID 39-147-000

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