NPI 1003483694

Regina Anne Mustafa, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Rochester, MN

Practice location

Address: 604 5th St SW, Rochester, MN 55902-3256
Phone: (507) 357-1742
Mailing address: 5246 King Arthur Dr NW, Rochester, MN 55901-2198

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 305862 (MN)

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Registry record

NPI: 1003483694
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.