| Stepping Stone Counseling, Llc | |
|
339 9th St Ste C Windom MN 56101-1694 | |
| (507) 221-0005 | |
| (507) 299-9924 |
| Full Name | Stepping Stone Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 339 9th St Ste C, Windom, Minnesota |
| Authorized Official Name and Position | Kerstin Lynn Cooley (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 5072210005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stepping Stone Counseling, Llc Po Box 372 Windom MN 56101-0372 Ph: (507) 221-0005 | Stepping Stone Counseling, Llc 339 9th St Ste C Windom MN 56101-1694 Ph: (507) 221-0005 |
| NPI Number | 1083212419 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/13/2020 |
| Medicare PECOS PAC ID | 0840692018 |
|---|---|
| Medicare Enrollment ID | O20210709002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083212419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anita M Handevidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891705968 PECOS PAC ID: 5698720910 Enrollment ID: I20050321000028 |
| Provider Name | Kerstin L Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285971713 PECOS PAC ID: 4082859186 Enrollment ID: I20130320000345 |
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