Stacy Nathan
Stacy Nathan is an Addiction (Substance Use Disorder) Counselor in Rockford, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
8060 Hwy 55 Ste 100Rockford, MN 55373-9407
Phone: (612) 597-0675
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1679369938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2025 |
| Last updated in NPPES | April 15, 2025 |
| Certification date | April 15, 2025 |
| Mailing address | 10755 93rd Ave N, Maple Grove, MN 55369-4109 |
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VI Doan
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Darcie Hanna, ADC-T
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Joy Kwai-Lyn Langenburg
8060 Hwy 55 Ste 100, Rockford, MN 55373-9407 · (612) 465-9910
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Cheyne Summer Page
8060 Hwy 55 # 100, Rockford, MN 55373-9407 · (612) 477-6857