Nikia Gustafson, MSE, LPCC, LADC

NPI 1811313950 · on the registry since 2014

Practice

Address: 15251 Pleasant Valley Rd
Center City, MN 55012
Phone: (651) 213-4525
Organisation at this address: Hazelden Betty Ford Foundation
Hazelden Betty Ford Foundation
Recovery Partners, Pc At Center City
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YA0400X
101YP2500X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota