Provider Demographics
NPI:1295339299
Name:NORDRUM, AARON (LMFT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:NORDRUM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 COUNTY ROAD 124
Mailing Address - Street 2:
Mailing Address - City:INTERNATIONAL FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56649-8806
Mailing Address - Country:US
Mailing Address - Phone:320-774-8991
Mailing Address - Fax:
Practice Address - Street 1:900 5TH ST STE 305
Practice Address - Street 2:
Practice Address - City:INTERNATIONAL FALLS
Practice Address - State:MN
Practice Address - Zip Code:56649-2200
Practice Address - Country:US
Practice Address - Phone:218-283-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist