Individual
TAYLOR STOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, R-DMT
Contact information
Practice address
16180 HASTINGS AVE SE, PRIOR LAKE, MN 55372-9227
(952) 443-4604
Mailing address
16180 HASTINGS AVE SE, PRIOR LAKE, MN 55372-9227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4497
MN
225600000X
Dance Therapist
R-DMT-2276
—
Other
Enumeration date
05/19/2023
Last updated
07/11/2024
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