Individual
REBECCA KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 WAYZATA BLVD, ST LOUIS PARK, MN 55416-1340
(952) 222-0772
Mailing address
5353 WAYZATA BLVD, ST LOUIS PARK, MN 55416-1340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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