Individual
NICHOLAS WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(651) 315-5274
Mailing address
13288 BRASS PKWY, ROSEMOUNT, MN 55068-2772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304455
MN
101YM0800X
Mental Health Counselor
Primary
CC1831
MN
Other
Enumeration date
01/17/2018
Last updated
04/25/2026
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