STACY R DESMOND LPCC NPI 1710698956

NPI Information

  • NPI: 1710698956
  • Provider Name: STACY R DESMOND, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1364 WHITE PINE DR
    CLOQUET, MN
    ZIP 55720
  • Phone: (218) 591-7375

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NPI Details

Stacy R Desmond, LPCC is a professional counselor in Cloquet, MN. Stacy R Desmond, LPCC NPI is 1710698956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1364 WHITE PINE DR
CLOQUET, MN
ZIP 55720-511
Phone: (218) 591-7375

The enumeration date for this NPI number is 12/8/2022 and was last updated on 12/8/2022.

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
1101YP2500XCounselorProfessional02095MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
184-4812831OTHERMINNESOTAPROFESSIONAL CLINICAL COUNSELING

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: 3/30/2025

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