Individual
MRS. STACY MARIE KRIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(763) 515-4563
Mailing address
6377 85TH ST NE, FOLEY, MN 56329-9540
(320) 266-3819
(763) 389-5453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302909
MN
101YP2500X
Professional Counselor
Primary
—
MN
Other
Enumeration date
04/03/2012
Last updated
07/24/2019
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