Kriese, Stacy Marie
Kriese, Stacy Marie is an sole proprietor health care provider with primary practice located at 703 Thielen Dr , Saint Michael MN 55376-9613. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kriese, Stacy Marie can be contacted via phone (763) 515-4563.Contact Information
Primary practice address
703 Thielen Dr
Saint Michael MN 55376-9613
Phone: (763) 515-4563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302909 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Minnesota |
Profile Details
| NPI number | 1245596352 |
|---|---|
| LBN Legal business name | Kriese, Stacy Marie |
| Credentials | LADC, LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2012 |
| Last updated | Jul 24th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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