STEPHANIE CAROLYN GULLICKSON NPI 1689143380

NPI Information

NPI: 1689143380
Provider Name: STEPHANIE CAROLYN GULLICKSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 236-7891
Get Directions

Stephanie Carolyn Gullickson is a mental health counselor in Bloomington, MN. Stephanie Carolyn Gullickson NPI is 1689143380. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN
ZIP 55431-453
Phone: (952) 236-7891
Fax: (952) 426-4935

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »