Individual
KRISTINA STAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 HACKBERRY CT, CARVER, MN 55315-4572
(612) 567-3533
Mailing address
1610 HACKBERRY CT, CARVER, MN 55315-4572
(612) 567-3533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304643
MN
101YM0800X
Mental Health Counselor
Primary
2176
MN
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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