Nicholas Weidner

NPI #1033627716 in Lakeville, Minnesota

Provider Information

NPI Number: 1033627716
Entity Type: Individual
Name: Nicholas Weidner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 17, 2018
Last Updated: Dec 6, 2019

Practice Location

Address: 7580 160TH ST W
City: Lakeville
State: Minnesota
ZIP Code: 55044-8348
Phone: (952) 898-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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