Provider Demographics
NPI:1558508200
Name:NASH, ELIZABETH MARA (MA LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARA
Last Name:NASH
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3300 EDINBOROUGH WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5958
Mailing Address - Country:US
Mailing Address - Phone:952-844-0619
Mailing Address - Fax:952-844-0628
Practice Address - Street 1:3300 EDINBOROUGH WAY STE 204
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5958
Practice Address - Country:US
Practice Address - Phone:952-844-0619
Practice Address - Fax:952-844-0628
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1736106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist