Kandie, Stephanie

Kandie, Stephanie is an individual health care provider with primary practice located at 5380 Bounty St Se , Prior Lake MN 55372-2501. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kandie, Stephanie can be contacted via phone (763) 327-7061.

Contact Information

Primary practice address
5380 Bounty St Se Prior Lake MN 55372-2501
Phone: (763) 327-7061
Fax: (612) 488-0596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1639779135
LBN Legal business name Kandie, Stephanie
Credentials MA, LADC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated Oct 4th, 2022 - about 2 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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