Individual
MARA JANE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12400 PORTLAND AVE STE 180, BURNSVILLE, MN 55337-6875
(651) 689-3012
(651) 352-6070
Mailing address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
(651) 454-3492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01867
MN
Other
Enumeration date
07/20/2018
Last updated
02/03/2026
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