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Individual

NATHAN PAUL MELANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
620 CIVIC HEIGHTS DR STE 103, CIRCLE PINES, MN 55014-4709
(763) 248-0352
Mailing address
620 CIVIC HEIGHTS DR STE 103, CIRCLE PINES, MN 55014-4709
(763) 248-0352

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5269-125
WI
101YP2500X
Professional Counselor
Primary
CC02262
MN

Other

Enumeration date
09/01/2023
Last updated
09/01/2023
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