Cragoe, Diane M

Cragoe, Diane M is an individual health care provider with primary practice located at 1875 Northwestern Ave S , Stillwater MN 55082. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cragoe, Diane M can be contacted via phone (651) 439-4840.

Contact Information

Primary practice address
1875 Northwestern Ave S Stillwater MN 55082
Phone: (651) 439-4840
Fax: (651) 439-4840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0869 Minnesota

Profile Details

NPI number 1063526762
LBN Legal business name Cragoe, Diane M
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 8th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063526762 NPPES
Other 28G34CR BCBS
MEDICAID 878520100 BCBS
Other 1010159 BCBS

Popular Providers