AMANDA NUSBAUM LPCC NPI 1679168876

NPI Information

NPI: 1679168876
Provider Name: AMANDA NUSBAUM, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9298 CENTRAL AVE NE STE 306
BLAINE, MN
ZIP 55434
Phone: (651) 955-4633
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Amanda Nusbaum, LPCC is a professional counselor in Blaine, MN. Amanda Nusbaum, LPCC NPI is 1679168876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9298 CENTRAL AVE NE STE 306
BLAINE, MN
ZIP 55434-219
Phone: (651) 955-4633

The enumeration date for this NPI number is 3/9/2021 and was last updated on 3/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	CC02768	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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