Jake Tastad
Jake Tastad is a Counselor in Shakopee, Minnesota. Works from 2 locations. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
100 Fuller St SShakopee, MN 55379-1348
Phone: (888) 953-4955
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 9382 Oak Ave, Waconia, MN 55387-9422 — (855) 454-2463
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1346088200 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2024 |
| Last updated in NPPES | July 25, 2024 |
| Certification date | July 25, 2024 |
| Mailing address | 100 Fuller St S, Shakopee, MN 55379-1348 |
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