Gustafson, Nikia M

Gustafson, Nikia M is an individual health care provider with primary practice located at 15251 Pleasant Valley Rd , Center City MN 55012-9640. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gustafson, Nikia M can be contacted via phone (651) 213-4525.

Contact Information

Primary practice address
15251 Pleasant Valley Rd Center City MN 55012-9640
Phone: (651) 213-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303813 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC00656 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC00656 Minnesota

Profile Details

NPI number 1811313950
LBN Legal business name Gustafson, Nikia M
Credentials MSE, LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2014
Last updated Oct 11th, 2019 - about 5 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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