Individual
BRITTANY JEAN MAUSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2467
Mailing address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 442-9447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303866
MN
101YM0800X
Mental Health Counselor
Primary
2706
MN
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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