Individual
REBECCA HUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BROADWAY ST N STE 114B, MENOMONIE, WI 54751-4728
(715) 308-5742
(888) 972-4831
Mailing address
1421 BROADWAY ST N STE 114B, MENOMONIE, WI 54751-4728
(715) 308-5742
(888) 972-4831
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2072
MN
Other
Enumeration date
10/05/2011
Last updated
08/04/2020
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