Individual provider · Type 1 NPI

Michael Vidana

Professional Counselor · Stillwater, MN

NPI number 1689346801 Active

Practice location

1715 Tower Dr W Ste 100
Stillwater, MN 55082-7609

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1689346801

Michael Vidana's National Provider Identifier is 1689346801, issued on Oct 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stillwater, MN. The record was last updated on Oct 5, 2021.