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Mr. Antony Stately, PHD,LP
Mental Health Counselor in Minneapolis, Minnesota
NPI 1023303054

Antony Stately is a Mental Health Counselor based in Minneapolis, MN and is specialized in Mental Health. Antony Stately practices in Minneapolis, MN and has the professional credentials of PHD,LP. The NPI Number for Antony Stately is 1023303054 and holds a License No. LP5258 (Minnesota).

The current practice location address for Antony Stately is 1213 E Franklin Ave, Minneapolis, MN and can be reached out via phone at 612-872-8086.

Location: 1213 E Franklin Ave, Minneapolis, MN, 55404-2923
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Provider Profile Details
NPI Number
1023303054
Provider Name
Antony Stately
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Male
Address
1213 E Franklin Ave, Minneapolis, MN, 55404-2923
Phone Number
612-872-8086
Fax Number
Provider Enumeration Date
06/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP5258 01 MN MN LIC
institution
Provider Business Practice Location Address Details
Address
1213 E Franklin Ave
City
State
Zip
55404
Phone Number
612-872-8086
Fax Number
person
Provider Business Mailing Address Details
Address
1213 E Franklin Ave
City
State
Zip
55404
Phone Number
612-872-8086
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LP5258 (Minnesota)
Definition
Definition to come...
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