Stacy Nathan

NPI #1679369938 in Rockford, Minnesota

Provider Information

NPI Number: 1679369938
Entity Type: Individual
Name: Stacy Nathan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 15, 2025
Last Updated: Apr 15, 2025

Practice Location

Address: 8060 HWY 55 STE 100
City: Rockford
State: Minnesota
ZIP Code: 55373-9407
Phone: (612) 597-0675

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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Organizations

Provider Name	Specialty	City
Burnsville Counseling & Healing Center	Counselor - Mental Health	Lakeville	AI Deep Dive

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