Individual provider · Type 1 NPI
Stacy Nathan
Mental Health Counselor · Rockford, MN
NPI number
1679369938
Active
Practice location
8060 Hwy 55 Ste 100
Rockford, MN 55373-9407
Mailing address
10755 93rd Ave N
Maple Grove, MN 55369-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Rockford
About NPI 1679369938
Stacy Nathan's National Provider Identifier is 1679369938, issued on Apr 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, MN. The record was last updated on Apr 15, 2025.