Individual
DIANE M CRAGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082
(651) 439-4840
(651) 439-4840
Mailing address
12432 MARQUESS WAY N, LAKE ELMO, MN 55042
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0869
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010159
PREFERRED ONE
—
01
—
28G34CR
BCBS
—
05
—
878520100
—
MA
Enumeration date
08/18/2006
Last updated
06/17/2025
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