Individual
MR. NICHOLAS PRAKASH NEWSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
17717 HIGHWAY 7, MINNETONKA, MN 55345-4148
(952) 936-0304
(952) 936-0454
Mailing address
18141 FRESNO ST NW, ELK RIVER, MN 55330-1714
(763) 370-8619
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2389
MN
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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