Individual
MAX RICHARD STOLTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC, LPCC
Contact information
Practice address
5700 BOTTINEAU BLVD STE 210, CRYSTAL, MN 55429-3184
(763) 330-2774
(763) 330-2775
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3699
MN
Other
Enumeration date
08/15/2008
Last updated
02/17/2024
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