Individual provider · Type 1 NPI
Natasha Marie Gunderson, LADC, LPCC
Mental Health Counselor · Woodbury, MN
NPI number
1306474036
Active
Practice location
6043 Hudson Rd Ste 200
Woodbury, MN 55125-1019
Fax (651) 925-8201
Other practice locations
- 7501 80th St S, Ste 108, Cottage Grove, MN 55016 · (651) 327-0652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2377 (MN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304953 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1306474036
Natasha Marie Gunderson, LADC, LPCC's National Provider Identifier is 1306474036, issued on Mar 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Mar 30, 2020.