Individual
LISA L STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPCC
Contact information
Practice address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
Mailing address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00486
MN
101YP2500X
Professional Counselor
687-6-1-11
ND
Other
Enumeration date
06/16/2011
Last updated
04/18/2018
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