Individual
ANITA LOUISE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C. L.A.D.C
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
Mailing address
2830 36TH AVE S, MINNEAPOLIS, MN 55406-1714
(612) 728-8923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC300947
MN
101YP2500X
Professional Counselor
Primary
LPC00288
MN
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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