Organization
ST. CROIX PSYCHIATRIC, LLC
Active
Organization
ST. CROIX PSYCHIATRIC, LLC
Active
Other names
PrairieCare Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ROGER SETTERBERG M.D. (PRESIDENT)
(651) 259-9707
Entity
Organization
Contact information
Practice address
7616 CURRELL BLVD, SUITE 100, WOODBURY, MN 55125-2290
(651) 259-9700
(651) 259-9730
Mailing address
7616 CURRELL BLVD, SUITE 100, WOODBURY, MN 55125-2290
(651) 259-9700
(651) 259-9730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
11/21/2008
Last updated
02/16/2009
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