| Doctor Name: | MRS. LEANN MARIE KAHL |
| NPI Number: | 1205274446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC, NCC |
| License Number: | 743-1-15-13 |
| Business Practice Address: | 701 16th Ave Sw Mandan, ND - 585545800 |
| Business Phone Number: | 7016671458 |
| Business Fax Number: | 7016671414 |
| Mailing Address: | 701 16th Ave Sw, MANDAN |
| State: | ND |
| Postal Code: | 585545800 |
| Phone Number: | 7016671458 |
| Fax Number: | 7016671414 |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 743-1-15-13 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |