Individual
VERONICA STAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 454-2291
(612) 252-0308
Mailing address
3329 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 454-2291
(612) 252-0308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301811
MN
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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