person
Ms. Annie Marie Stafford, LADC
Addiction (Substance Use Disorder) Counselor in Bloomington, Minnesota
NPI 1508180316

Annie Marie Stafford is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). Annie Marie Stafford practices in Bloomington, MN and has the professional credentials of LADC. The NPI Number for Annie Marie Stafford is 1508180316 and holds a License No. 302350 (Minnesota).

The current practice location address for Annie Marie Stafford is 1101 E 78Th St Ste 100, Bloomington, MN and can be reached out via phone at 529-854-5034 and via fax at 952-854-5363.

Location: 1101 E 78Th St Ste 100, Bloomington, MN, 55112
person
Provider Profile Details
NPI Number
1508180316
Provider Name
Annie Marie Stafford
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1101 E 78Th St Ste 100, Bloomington, MN, 55112
Phone Number
529-854-5034
Fax Number
952-854-5363
Provider Enumeration Date
03/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 E 78Th St Ste 100
City
State
Zip
55420-1402
Phone Number
529-854-5034
Fax Number
952-854-5363
person
Provider Business Mailing Address Details
Address
1101 E 78Th St Ste 100
City
State
Zip
55420-1402
Phone Number
529-854-5034
Fax Number
952-854-5363
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302350 (Minnesota)
Definition
Definition to come...
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