Individual
BARBARA STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377
(320) 253-5220
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(320) 253-5220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
LP5013
MN
Other
Enumeration date
01/11/2007
Last updated
08/28/2019
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