Individual
STEFFAN IMMERFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
2516 E 7TH ST, SUPERIOR, WI 54880-3832
(218) 349-6434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4264
MN
Other
Enumeration date
03/25/2024
Last updated
02/18/2025
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