Individual provider · Type 1 NPI
Kassidy Kay Stockman, T.ADC/CPP
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1376853200
Active
Practice location
1216 7th St E # 2
St. Paul, MN 55106-4088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376853200
Kassidy Kay Stockman, T.ADC/CPP's National Provider Identifier is 1376853200, issued on Oct 13, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Oct 13, 2010.