Individual
STACEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1107 HAZELTINE BOULEVARD, SUITE 496, MD 45, CHASKA, MN 55318-1000
(952) 240-3334
Mailing address
1107 HAZELTINE BOULEVARD, SUITE 496, MD 45, CHASKA, MN 55318-1000
(952) 240-3334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2960
MN
Other
Enumeration date
03/18/2014
Last updated
01/10/2025
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