Headwaters Nutrition Counseling

NPI #1578282646 in Bemidji, Minnesota

Provider Information

NPI Number
1578282646
Entity Type
Organization
Organization Name
Headwaters Nutrition Counseling
Primary Specialty
Dietitian, Registered
Enumeration Date
Aug 23, 2022
Last Updated
Sep 28, 2022

Practice Location

Address
118 PAUL BUNYAN DR S
ZIP Code
56601-3236
Phone
(218) 689-1907

Authorized Official

Name
JAMI SUE ROKALA, RDN, CLC
Title
REGISTERED DIETITIAN NUTRITIONIST
Phone
(218) 689-1907

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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