Nathan & Associates, LLC
Social Worker, Clinical in Roseville, MN. Organization (NPI-2).
NPI number1982123345
StatusActive
Last updated in NPPESSep 20, 2017
Details
- NPI
- 1982123345
- Entity type
- Organization (NPI-2)
- Legal business name
- Nathan & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2017
- Last updated
- Sep 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17535 | MN | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
2233 Hamline Ave N Ste 435Roseville, MN 55113-5023
Phone 612-708-7712
Mailing address
2434 Hazelwood StMaplewood, MN 55109-2028
Authorized official
Nathan Rauschendorfer
Msw, Licsw/Owner
6127087712
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