Individual provider · Type 1 NPI

Nastassia Marie Pavlov

Mental Health Counselor · Minneapolis, MN

NPI number 1609284033 Active

Practice location

410 Church St SE
Minneapolis, MN 55455-0222

Call (612) 225-8400 Map

Mailing address

401 Church St, 401 Church St.
Minneapolis, MN 55455

Other practice locations

  • 7041 20th Ave, Centerville, MN 55038-9737 · (651) 407-3631
  • 401 Church St SE, Minneapolis, MN 55455 · (612) 626-3507

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3675 (MN)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1609284033

Nastassia Marie Pavlov's National Provider Identifier is 1609284033, issued on Jul 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 13, 2020.