Individual
ELLEN JOHANNA GUSTILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 147TH ST W STE 600, APPLE VALLEY, MN 55124-7850
(953) 234-6299
(952) 997-3027
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4472
MN
Other
Enumeration date
02/07/2017
Last updated
09/22/2025
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