Individual
NATHANAEL FARM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 FRANCE AVE S STE 425, EDINA, MN 55435-1808
(952) 243-8300
Mailing address
7365 HOWARD LN APT 223, EDEN PRAIRIE, MN 55346-3038
(763) 228-8432
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
03/06/2025
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