Individual
ANNALISE GULSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 EXCELSIOR BLVD, MINNEAPOLIS, MN 55416-4688
(612) 979-2276
Mailing address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC05199
MN
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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