Individual
NATHAN SHAYLOR ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
657 MAIN ST NW STE 214, ELK RIVER, MN 55330-1579
(763) 412-1994
(763) 412-1994
Mailing address
657 MAIN ST NW STE 214, ELK RIVER, MN 55330-1579
(763) 412-1994
(763) 412-1994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304774
MN
101YP2500X
Professional Counselor
Primary
2401
MN
Other
Enumeration date
10/20/2017
Last updated
02/11/2020
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