Individual
DUSTIN ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8790
Mailing address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8790
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3890
MN
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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