Individual
STACEY ANN FEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
3830 PRAIRIE RD, WHITE BEAR LAKE, MN 55110-4823
(651) 373-1726
Mailing address
3830 PRAIRIE RD, WHITE BEAR LAKE, MN 55110-4823
(651) 373-1726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0141
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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