Individual
SARAH BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
PO BOX 51, VICTORIA, MN 55386-0051
(952) 443-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3010
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2021
Last updated
10/05/2021
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