Stage By Staige- Jail | |
2500 Alexander St Sw Owatonna MN 55060-4721 | |
(507) 216-5151 | |
(507) 634-7120 |
Full Name | Stage By Staige- Jail |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2500 Alexander St Sw, Owatonna, Minnesota |
Authorized Official Name and Position | Karen Louise Staige (COUNSELOR, CO-OWNER) |
Authorized Official Contact | 5072165151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stage By Staige- Jail 11 E Veterans Memorial Hwy Ste 106 Kasson MN 55944-1716 Ph: (507) 216-5151 | Stage By Staige- Jail 2500 Alexander St Sw Owatonna MN 55060-4721 Ph: (507) 216-5151 |
NPI Number | 1154845683 |
---|---|
Provider Enumeration Date | 07/26/2017 |
Last Update Date | 10/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154845683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304332 (Minnesota) | Primary |
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