Individual provider · Type 1 NPI

Stephanie Carolyn Gullickson

Mental Health Counselor · Bloomington, MN

NPI number 1689143380 Active

Practice location

8200 Humboldt Ave S Ste 306
Bloomington, MN 55431-1453

Call (952) 236-7891 Map

Fax (952) 426-4935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689143380

Stephanie Carolyn Gullickson's National Provider Identifier is 1689143380, issued on Nov 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, MN. The record was last updated on Nov 26, 2018.