Individual
KIMBERLY STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
9298 CENTRAL AVE NE STE 310, BLAINE, MN 55434-4219
(651) 955-4633
(651) 440-9827
Mailing address
245 RUTH ST N STE 101, SAINT PAUL, MN 55119-4409
(651) 955-4633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04698
MN
Other
Enumeration date
12/10/2024
Last updated
08/21/2025
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