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Stacia Jeppson
Professional Counselor in Minneapolis, Minnesota
NPI 1386048247

Stacia Jeppson is a Professional Counselor based in Mankato, MN and is specialized in Professional. Stacia Jeppson practices in Minneapolis, MN. The NPI Number for Stacia Jeppson is 1386048247 and holds a License No. 411946275 (Minnesota).

The current practice location address for Stacia Jeppson is 3018 Lake Shore Dr, Minneapolis, MN and can be reached out via phone at 320-493-8522.

Location: 3018 Lake Shore Dr, Minneapolis, MN, 56001-7568
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Provider Profile Details
NPI Number
1386048247
Provider Name
Stacia Jeppson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3018 Lake Shore Dr, Minneapolis, MN, 56001-7568
Phone Number
320-493-8522
Fax Number
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3018 Lake Shore Dr
City
State
Zip
55416-4282
Phone Number
320-493-8522
Fax Number
person
Provider Business Mailing Address Details
Address
3018 Lake Shore Dr
City
State
Zip
55416-4282
Phone Number
320-493-8522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC02209 (Minnesota)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
411946275 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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