Individual
MATHEW DWIGHT QUASCHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1406 W LAKE ST, 204, MINNEAPOLIS, MN 55408-2653
(952) 210-3266
Mailing address
1406 W LAKE ST, 204, MINNEAPOLIS, MN 55408-2653
(952) 210-3266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
636
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423652100
—
MN
Enumeration date
01/06/2014
Last updated
05/14/2014
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