| Doctor Name: | MR. STEVEN WILLIAM KVALE |
| NPI Number: | 1457522427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LP |
| License Number: | LP3089 |
| Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
| Business Phone Number: | 2183353281 |
| Business Fax Number: | 2183354410 |
| Mailing Address: | 425 7th St Nw, CASS LAKE |
| State: | MN |
| Postal Code: | 566333360 |
| Phone Number: | 2183353281 |
| Fax Number: | 2183354410 |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP3089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |