MEDICARE: ASHLEY STEPHENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578497509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY STEPHENS

Provider Business Mailing Address
First Line	:	519 15TH ST N
Second Line	:
City	:	VIRGINIA
State	:	MN
Zip	:	55792-2151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 15TH ST N
Second Line	:
City	:	VIRGINIA
State	:	MN
Zip	:	55792-2151
Country	:	US
Telephone Number	:	218-750-2984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ ASHLEY STEPHENS ” Practice Location

Language	Start Address	Practice Location

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