Individual provider · Type 1 NPI

Stacia Jeppson

Professional Counselor · Minneapolis, MN

NPI number 1386048247 Active

Practice location

3018 Lake Shore Dr
Minneapolis, MN 55416-4282

Call (320) 493-8522 Map

Mailing address

225 Muriefield Dr
Mankato, MN 56001-7568

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X411946275 (MN)
Professional Counselor Primary 101YP2500XCC02209 (MN)

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About NPI 1386048247

Stacia Jeppson's National Provider Identifier is 1386048247, issued on Oct 21, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 8, 2020.