Stable Living LLC
Organization Active NPI Mental Health Counselor · Mound, MN
NPI 1194120519 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1194120519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC00786 (MN)
- Legal business name
- STABLE LIVING LLC
- Practice address
- 6344 Rambler LN
Mound, MN 55364-1043 - Phone
- (952) 240-1621
- Fax
- (952) 472-0477
- NPI assigned
- Oct 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Kristin Palesch, LPCC
- Title
- Owner
- Phone
- (952) 240-1621
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | CC00786 | MN | Yes |
Addresses
Primary practice location
6344 Rambler LN
Mound, MN 55364-1043
Mailing address
6344 Rambler LN
Mound, MN 55364-1043
Phone (952) 240-1621
Other providers in Mound, MN
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- Jeanne Lucille Savoie
- Danielle Settle
- Nancy Elizabeth Singer
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- Gary Lawrence Steffens
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- Kevin Tomford
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- Jennifer K Vettel
All providers in Mound, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.