MAX RICHARD STOLTENBERG MC LPCC NPI 1184870610

NPI Information

NPI: 1184870610
Provider Name: MAX RICHARD STOLTENBERG, MC, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
5700 BOTTINEAU BLVD STE 210
CRYSTAL, MN
ZIP 55429
Phone: (763) 330-2774
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Max Richard Stoltenberg, MC, LPCC is a professional counselor in Crystal, MN. Max Richard Stoltenberg, MC, LPCC NPI is 1184870610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5700 BOTTINEAU BLVD STE 210
CRYSTAL, MN
ZIP 55429-184
Phone: (763) 330-2774
Fax: (763) 330-2775

The NPI 1184870610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/15/2008 and was last updated on 2/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3699	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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