Individual
DARYL ARNOLD STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA,
Contact information
Practice address
832 10TH AVE N, SARTELL, MN 56377-2256
(320) 255-1813
(320) 202-9997
Mailing address
932 10TH AVENUE NORTH, SARTELL, MN 56377
(320) 255-1813
(320) 202-9997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300118
MN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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