Nathaniel Adam Allin-Churchill, MA, LPCC
Counselor, Professional in Eden Prairie, MN. Individual provider (NPI-1).
NPI number1881137693
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1881137693
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nathaniel Adam Allin-Churchill
- Credential
- MA, LPCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2016
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | cc01732 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
11010 Prairie Lakes Dr Ste 350Eden Prairie, MN 55344-3801
Phone 952-746-2522 · Fax 952-746-0887
Mailing address
1900 Silver Lake Rd NwSuite 110
New Brighton, MN 55112-1786
Phone 612-628-9566
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