Individual
NATASHA MARIE GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
6043 HUDSON RD STE 200, WOODBURY, MN 55125-1019
(651) 348-5594
(651) 925-8201
Mailing address
6043 HUDSON RD STE 200, WOODBURY, MN 55125-1019
(651) 348-5594
(651) 925-8201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304953
MN
101YM0800X
Mental Health Counselor
Primary
2377
MN
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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