Individual provider · Type 1 NPI

Jake Tastad

Counselor · Shakopee, MN

NPI number 1346088200 Active

Practice location

100 Fuller St S
Shakopee, MN 55379-1348

Other practice locations

  • 9382 Oak Ave, Waconia, MN 55387-9422 · (855) 454-2463

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5 other providers at this address

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About NPI 1346088200

Jake Tastad's National Provider Identifier is 1346088200, issued on Jul 16, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 25, 2024.