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Stephanie Carolyn Gullickson
Mental Health Counselor in Bloomington, Minnesota
NPI 1689143380

Stephanie Carolyn Gullickson is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. Stephanie Carolyn Gullickson practices in Bloomington, MN. The NPI Number for Stephanie Carolyn Gullickson is 1689143380 and holds a License No. (Minnesota).

The current practice location address for Stephanie Carolyn Gullickson is 8200 Humboldt Ave S Ste 306, Bloomington, MN and can be reached out via phone at 952-236-7891 and via fax at 952-426-4935.

Location: 8200 Humboldt Ave S Ste 306, Bloomington, MN, 55431-1453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689143380
Provider Name
Stephanie Carolyn Gullickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8200 Humboldt Ave S Ste 306, Bloomington, MN, 55431-1453
Phone Number
952-236-7891
Fax Number
952-426-4935
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 Humboldt Ave S Ste 306
City
Bloomington
State
Minnesota
Zip
55431-1453
Phone Number
952-236-7891
Fax Number
952-426-4935
person
Provider Business Mailing Address Details
Address
8200 Humboldt Ave S Ste 306
City
Bloomington
State
Minnesota
Zip
55431-1453
Phone Number
952-236-7891
Fax Number
952-426-4935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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