Individual
MARY J STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
1619 PORTLAND AVE, MINNEAPOLIS, MN 55404-1507
(612) 238-6536
(612) 333-4111
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
(612) 373-3366
(612) 333-4111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03934
MN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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