Provider Demographics
NPI:1780312579
Name:SLAUGHTER, NATALINA (MA, LPC)
Entity type:Individual
Prefix:
First Name:NATALINA
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 HAMPSHIRE AVE S APT 334
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-2228
Mailing Address - Country:US
Mailing Address - Phone:763-807-3323
Mailing Address - Fax:
Practice Address - Street 1:1600 UNIVERSITY AVE W STE 203
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3838
Practice Address - Country:US
Practice Address - Phone:651-645-0980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health