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Individual

STEPHANIE J CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADCS, MENTAL HEALTH

Contact information

Practice address
940 IVY HILLS RD, BELLE PLAINE, MN 56011-5125
(320) 455-1835
(320) 407-0501
Mailing address
509 RIDGE RD, HENDERSON, MN 56044-4031
(320) 455-1835

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304824
MN
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/03/2019
Last updated
11/13/2022
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