Individual
DANIEL ALEX ZUSTIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LMFT
Contact information
Practice address
1516 W LAKE ST STE 110, MINNEAPOLIS, MN 55408
(612) 872-8218
(612) 874-8885
Mailing address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 822-1357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3014
MN
101YM0800X
Mental Health Counselor
3014
MN
106H00000X
Marriage & Family Therapist
Primary
3014
MN
Other
Enumeration date
04/17/2015
Last updated
05/14/2018
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