| Doctor Name: | DANIEL ALEX ZUSTIAK |
| NPI Number: | 1326435231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. LMFT |
| License Number: | 3014 |
| Business Practice Address: | 2712 Fremont Ave S Minneapolis, MN - 55408 |
| Business Phone Number: | 6128728218 |
| Business Fax Number: | 6128748885 |
| Mailing Address: | 1516 West Lake Street, Suite 110 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 55408 |
| Phone Number: | 6128221357 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2015 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 3014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |