Gustafson, Stacy Louise

Gustafson, Stacy Louise is an sole proprietor health care provider with primary practice located at 980 1St St N , Pine River MN 56474-4508. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gustafson, Stacy Louise can be contacted via phone (218) 587-8036.

Contact Information

Primary practice address
980 1St St N Pine River MN 56474-4508
Phone: (218) 587-8036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC1066 Minnesota

Profile Details

NPI number 1457723769
LBN Legal business name Gustafson, Stacy Louise
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 10 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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