Individual
DR. GRANT DAVID CHIKAZAWA-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
6607 18TH AVE S, SUITE 201, RICHFIELD, MN 55423-2784
(612) 455-4040
(612) 455-4041
Mailing address
6607 18TH AVE S, SUITE 201, RICHFIELD, MN 55423-2784
(612) 455-4040
(612) 455-4041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0943
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540521
BEHAVIORAL HEALTH PROVIDE
MN
01
—
69B21CH
BCBS BLUEPLUS
MN
Enumeration date
01/04/2007
Last updated
07/08/2007
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