Individual
JUSTINE WELCH MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
6640 LYNDALE AVE S STE 110, MINNEAPOLIS, MN 55423
(612) 324-0198
Mailing address
5510 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2437
(612) 616-5782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303216
MN
106H00000X
Marriage & Family Therapist
Primary
2927
MN
Other
Enumeration date
08/30/2016
Last updated
07/09/2018
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