Individual
MARY E JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044-9821
(952) 214-8959
(952) 214-8960
Mailing address
364 UPPER WOOD WAY, BURNSVILLE, MN 55337-5730
(320) 290-0739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
5478
—
Other
Enumeration date
06/08/2024
Last updated
03/23/2026
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