Individual
REGINA ANNE MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
604 5TH ST SW, ROCHESTER, MN 55902-3256
(507) 357-1742
Mailing address
5246 KING ARTHUR DR NW, ROCHESTER, MN 55901-2198
(612) 986-7724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305862
MN
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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