Individual provider · Type 1 NPI

Veronica Stake

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1194124172 Active

Practice location

3329 University Ave SE
Minneapolis, MN 55414-3325

Call (612) 454-2291 Map

Fax (612) 252-0308

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301811 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194124172

Veronica Stake's National Provider Identifier is 1194124172, issued on Aug 15, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 15, 2014.