Chikazawa-Nelson, Grant David

Chikazawa-Nelson, Grant David is an individual health care provider with primary practice located at 6607 18Th Ave S Suite 201, Richfield MN 55423-2784. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Chikazawa-Nelson, Grant David can be contacted via phone (612) 455-4040.

Contact Information

Primary practice address
6607 18Th Ave S Suite 201 Richfield MN 55423-2784
Phone: (612) 455-4040
Fax: (612) 455-4041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0943 Minnesota

Profile Details

NPI number 1760539787
LBN Legal business name Chikazawa-Nelson, Grant David
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760539787 NPPES
Minnesota Other 540521 BEHAVIORAL HEALTH PROVIDE
Minnesota Other 540521 BEHAVIORAL HEALTH PROVIDE
Minnesota Other 540521 BEHAVIORAL HEALTH PROVIDE
Minnesota Other 69B21CH BEHAVIORAL HEALTH PROVIDE
Minnesota Other 69B21CH BEHAVIORAL HEALTH PROVIDE

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