person
Amanda Nusbaum, LPCC
Professional Counselor in Blaine, Minnesota
NPI 1679168876

Amanda Nusbaum is a Professional Counselor based in Blaine, MN and is specialized in Professional. Amanda Nusbaum practices in Blaine, MN and has the professional credentials of LPCC. The NPI Number for Amanda Nusbaum is 1679168876 and holds a License No. CC02768 (Minnesota).

The current practice location address for Amanda Nusbaum is 9298 Central Ave Ne Ste 306, Blaine, MN and can be reached out via phone at 651-955-4633.

Location: 9298 Central Ave Ne Ste 306, Blaine, MN, 55434-4219
person
Provider Profile Details
NPI Number
1679168876
Provider Name
Amanda Nusbaum
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
9298 Central Ave Ne Ste 306, Blaine, MN, 55434-4219
Phone Number
651-955-4633
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9298 Central Ave Ne Ste 306
City
State
Zip
55434-4219
Phone Number
651-955-4633
Fax Number
person
Provider Business Mailing Address Details
Address
9298 Central Ave Ne Ste 306
City
State
Zip
55434-4219
Phone Number
651-955-4633
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC02768 (Minnesota)
Definition
Definition to come...
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