Stacy Marie Kriese, LADC, LPCC
Counselor, Professional in Saint Michael, MN. Individual provider (NPI-1).
NPI number1245596352
StatusActive
Last updated in NPPESJul 24, 2019
Details
- NPI
- 1245596352
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacy Marie Kriese
- Credential
- LADC, LPCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2012
- Last updated
- Jul 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 302909 | MN |
Practice location
703 Thielen DrSaint Michael, MN 55376-9613
Phone 763-515-4563
Mailing address
6377 85th St NeFoley, MN 56329-9540
Phone 320-266-3819 · Fax 763-389-5453
Other practice locations
1506 1st St
Princeton, MN 55371-1462
Princeton, MN 55371-1462
Phone 763-389-5080 · Fax 763-389-5453
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