Individual
MRS. STACY LYNN ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5851 DULUTH ST STE 306, GOLDEN VALLEY, MN 55422-3957
(612) 280-5750
Mailing address
5851 DULUTH ST STE 306, GOLDEN VALLEY, MN 55422-3957
(612) 280-5750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02005
MN
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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