Individual provider · Type 1 NPI

Nicholas Weidner

Mental Health Counselor · Eagan, MN

NPI number 1033627716 Active

Practice location

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567

Mailing address

13288 Brass Pkwy
Rosemount, MN 55068-2772

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304455 (MN)
Mental Health Counselor Primary 101YM0800XCC1831 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1033627716

Nicholas Weidner's National Provider Identifier is 1033627716, issued on Jan 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eagan, MN. The record was last updated on Apr 25, 2026.