Individual
JENNIFER ANN STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14949 62ND ST N, STILLWATER, MN 55082-6102
(651) 430-6483
Mailing address
14949 62ND ST N, STILLWATER, MN 55082-6102
(651) 430-6483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304423
MN
101YP2500X
Professional Counselor
Primary
3828
MN
Other
Enumeration date
06/11/2018
Last updated
05/30/2025
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