Individual provider · Type 1 NPI

Stephanie Kandie, MA, LADC, LPCC

Mental Health Counselor · Prior Lake, MN

NPI number 1639779135 Active

Practice location

5380 Bounty St SE
Prior Lake, MN 55372-2501

Call (763) 327-7061 Map

Fax (612) 488-0596

Other practice locations

  • 4123 E Lake St, Minneapolis, MN 55406-2255 · (612) 729-0340

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639779135

Stephanie Kandie, MA, LADC, LPCC's National Provider Identifier is 1639779135, issued on Oct 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prior Lake, MN. The record was last updated on Oct 4, 2022.