Individual provider · Type 1 NPI

Kassondra Lorol Gustafson, LPCC

Mental Health Counselor · Willmar, MN

NPI number 1831794973 Active

Practice location

201 28th Ave SW
Willmar, MN 56201-5241

Fax (320) 235-2733

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831794973

Kassondra Lorol Gustafson, LPCC's National Provider Identifier is 1831794973, issued on Dec 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willmar, MN. The record was last updated on Sep 5, 2024.