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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