Individual
SHANTEL M GASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102-2459
(651) 241-8295
(651) 241-7300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11152
NE
103T00000X
Psychologist
Primary
LP6798
MN
Other
Enumeration date
08/21/2017
Last updated
11/28/2022
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