Lona Jean Stussy in Minneapolis - Addiction (substance Use Disorder)

Lona Jean Stussy - NPI 1346426376

Lona Jean Stussy is a Addiction (substance Use Disorder) in Minneapolis, Minnesota. Lona Jean Stussy practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lona Jean Stussy is 1346426376. The last update date is 2008-01-22.

Lona Jean Stussy's current location address is 1911 Pleasant Ave South, Minneapolis, Minnesota. You can contact this provider via phone number 6128749811 and fax number 6128749820. The mailing address for Lona Jean Stussy is 1911 Pleasant Ave South, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lona Jean Stussy
Address 1911 Pleasant Ave South, Minneapolis, Minnesota
Phone Number 6128749811
Fax Number 6128749820
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1346426376
Provider Enumeration Date 2008-01-22
Last Updated Date 2008-01-22

Provider Mailing Address Detail

Address 1911 Pleasant Ave South
City Minneapolis
State Minnesota (MN)
Post Code 55403
Phone Number 6128749811
Fax Number 6128749820

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 301615
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
301615 MN STATE LICENSE, LADC

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FAQs about Lona Jean Stussy

What is the Lona Jean Stussy's unique identification number?

The Lona Jean Stussy has been assigned the NPI (National Provider Identifier) Number 1346426376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lona Jean Stussy's facilities are situated?

The facilities of Lona Jean Stussy are physically located at the following address: 1911 Pleasant Ave South, Minneapolis, MN, 55403.

What is the Lona Jean Stussy's area of specialization and corresponding taxonomy classification?

The Lona Jean Stussy's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

When did the Lona Jean Stussy receive its 1346426376?

The Lona Jean Stussy was issued its 1346426376 on 2008-01-22, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Lona Jean Stussy most recently updated or revised?

The information pertaining to Lona Jean Stussy, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-22.

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