Provider Demographics
NPI:1942862883
Name:TOLLEFSON, SABRINA (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:
Last Name:TOLLEFSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E SUPERIOR ST STE 202
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2185
Mailing Address - Country:US
Mailing Address - Phone:218-866-0193
Mailing Address - Fax:218-491-6080
Practice Address - Street 1:230 E SUPERIOR ST STE 202
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2185
Practice Address - Country:US
Practice Address - Phone:218-866-0193
Practice Address - Fax:218-491-6080
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health