Stacy Louise Gustafson, LPCC

NPI #1457723769 in Pine River, Minnesota

Provider Information

NPI Number: 1457723769
Entity Type: Individual
Name: Stacy Louise Gustafson, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPCC
Enumeration Date: Oct 26, 2015
Last Updated: Oct 26, 2015

Practice Location

Address: 980 1ST ST N
City: Pine River
State: Minnesota
ZIP Code: 56474-4508
Phone: (218) 587-8036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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