Individual provider · Type 1 NPI

Stephanie Kantola

Addiction (Substance Use Disorder) Counselor · Big Lake, MN

NPI number 1497427074 Active

Practice location

207 Jefferson Blvd
Big Lake, MN 55309-4667

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303384 (MN)

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

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About NPI 1497427074

Stephanie Kantola's National Provider Identifier is 1497427074, issued on Oct 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Big Lake, MN. The record was last updated on Oct 1, 2021.