Organization
LTC PROFESSIONALS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE RUSTAD (DIRECTOR OF CLINICAL OPERATIONS)
(507) 351-8858
Entity
Organization
Contact information
Practice address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 248-0716
Mailing address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 248-0716
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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