Individual
SARAH CATHERINE GUSTAFSON-DOMBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4150 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-4800
(866) 522-2472
Mailing address
2715 RANDOLPH ST NE, MINNEAPOLIS, MN 55418-2621
(612) 205-4897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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