Provider Demographics
NPI:1043555907
Name:WALDORF, KARI ANN (LMFT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
Last Name:WALDORF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 1ST ST N STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4587
Mailing Address - Country:US
Mailing Address - Phone:320-493-4365
Mailing Address - Fax:
Practice Address - Street 1:2700 1ST ST N STE 300
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4587
Practice Address - Country:US
Practice Address - Phone:320-493-4365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1954106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist