LONA JEAN STUSSY

MINNEAPOLIS, MN
NPI1346426376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301615)
Enumeration Date2008-01-22
Last Update Date2008-01-22
Business Address
Ms. LONA JEAN STUSSY LADC
1911 PLEASANT AVE SOUTH CREATE, INC.
MINNEAPOLIS, MN 55403
Phone number: 612-874-9811
Mailing Address
Ms. LONA JEAN STUSSY LADC
1911 PLEASANT AVE SOUTH CREATE, INC.
MINNEAPOLIS, MN 55403
Phone number: 612-874-9811