Individual
STEPHANIE LYN HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
Mailing address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305877
MN
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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