| Doctor Name: | AMY NATHE |
| NPI Number: | 1720269392 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | CC00086 |
| Business Practice Address: | 14445 Highway 10 Glyndon, MN - 565479565 |
| Business Phone Number: | 7012122758 |
| Business Fax Number: | |
| Mailing Address: | 14445 Highway 10, GLYNDON |
| State: | MN |
| Postal Code: | 565479565 |
| Phone Number: | 7012122758 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2007 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC00086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |