Anika Lauren Walstrom, M.Ed., LPCC
Counselor, Professional in Moorhead, MN. Individual provider (NPI-1).
NPI number1558106948
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1558106948
- Entity type
- Individual (NPI-1)
- Name
- Anika Lauren Walstrom
- Credential
- M.Ed., LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2024
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5001 | MN | Yes |
| 101YP2500X | Counselor, Professional | 1208-6-15-22-580 | ND |
Practice location
819 30th Ave S Ste 208Moorhead, MN 56560-5054
Phone 651-313-8080
Mailing address
819 30th Ave S Ste 208Moorhead, MN 56560-5054
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