Individual
NICHOLAS IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
307 S MANTORVILLE AVE, KASSON, MN 55944-1258
(507) 446-0431
Mailing address
2575 HARVEST LN, OWATONNA, MN 55060-4305
(507) 446-0431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4257
MN
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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