Individual
JASON ANDREW STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
332 W SUPERIOR ST STE 300, DULUTH, MN 55802-1844
(218) 722-4379
Mailing address
3587 E GUSTAFSON RD, SUPERIOR, WI 54880-8317
(218) 235-1378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2681
MN
Other
Enumeration date
12/28/2020
Last updated
03/11/2021
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