Individual
MS. MARISA JANAY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-9778
(763) 581-9879
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-9778
(763) 581-9879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538891361
—
MN
Enumeration date
06/29/2022
Last updated
04/02/2026
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