Harstad, Makenna

Harstad, Makenna is an individual health care provider with primary practice located at 3111 124Th Ave Nw Ste 150 , Coon Rapids MN 55433-4581. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Harstad, Makenna can be contacted via phone (763) 272-5877.

Contact Information

Primary practice address
3111 124Th Ave Nw Ste 150 Coon Rapids MN 55433-4581
Phone: (763) 272-5877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1841053063
LBN Legal business name Harstad, Makenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about 2 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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