person
Kim E Stephan, LADC
Addiction (Substance Use Disorder) Counselor in Pine City, Minnesota
NPI 1437930682

Kim E Stephan is an Addiction (Substance Use Disorder) Counselor based in Pine City, MN and is specialized in Addiction (Substance Use Disorder). Kim E Stephan practices in Pine City, MN and has the professional credentials of LADC. The NPI Number for Kim E Stephan is 1437930682 and holds a License No. 305303 (Minnesota).

The current practice location address for Kim E Stephan is 509 3Rd Ave Se, Pine City, MN and can be reached out via phone at 651-491-6508 and via fax at 320-629-9983.

Location: 509 3Rd Ave Se, Pine City, MN, 55063-1443
person
Provider Profile Details
NPI Number
1437930682
Provider Name
Kim E Stephan
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
509 3Rd Ave Se, Pine City, MN, 55063-1443
Phone Number
651-491-6508
Fax Number
320-629-9983
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
509 3Rd Ave Se
City
State
Zip
55063-1508
Phone Number
651-491-6508
Fax Number
320-629-9983
person
Provider Business Mailing Address Details
Address
509 3Rd Ave Se
City
State
Zip
55063-1508
Phone Number
651-491-6508
Fax Number
320-629-9983
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305303 (Minnesota)
Definition
Definition to come...
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