Individual
NASTASSIA MARIE PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 225-8400
Mailing address
401 CHURCH ST, 401 CHURCH ST., MINNEAPOLIS, MN 55455
(612) 626-3507
(612) 625-6800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3675
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
01/13/2020
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