Individual
MR. NATHANIEL W HURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC #301333
Contact information
Practice address
8557 WYOMING AVE N STE 6, BROOKLYN PARK, MN 55445-1847
(612) 203-9980
(612) 879-3604
Mailing address
PO BOX 7508, MINNEAPOLIS, MN 55407-0508
(612) 203-9809
(612) 879-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301333
MN
1041C0700X
Clinical Social Worker
22145
MN
Other
Enumeration date
05/08/2012
Last updated
07/17/2013
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