Individual provider · Type 1 NPI

Mary Elizabeth Siusta

Counselor · St. Louis Park, MN

NPI number 1649034463 Active

Practice location

7601 Wayzata Blvd
St. Louis Park, MN 55426-1623

Mailing address

18714 5th St NE
Cedar, MN 55011-9432

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649034463

Mary Elizabeth Siusta's National Provider Identifier is 1649034463, issued on Feb 12, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 15, 2024.