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General NPI Number Information
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NPI Number | 1740721778
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Entity Type | Individual
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Provider Name | STEPHEN PLATT LPC, LADC
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Gender | Male
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 621 W LAKE ST STE 350
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2952
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Country | US
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Telephone | 651-788-5367
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Fax |
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Provider Business Mailing Address
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Address Line | 360 LEXINGTON PKWY S APT 306
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City | SAINT PAUL
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State | MN
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Zip | 55105-2866
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Country | US
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Telephone | 651-788-5367
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2221
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License Number State | MN
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