Provider Demographics
NPI:1437303377
Name:STETZER, KARI CASSEL
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:CASSEL
Last Name:STETZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 CENTER ST
Mailing Address - Street 2:PO BOX 30113
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-3595
Mailing Address - Country:US
Mailing Address - Phone:507-453-9563
Mailing Address - Fax:507-453-9562
Practice Address - Street 1:223 CENTER ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3595
Practice Address - Country:US
Practice Address - Phone:507-453-9563
Practice Address - Fax:507-453-9562
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor