Provider Demographics
NPI:1457640724
Name:STELFLUG, EDEN ZABRINA (BS, LADC, CCDP)
Entity Type:Individual
Prefix:MISS
First Name:EDEN
Middle Name:ZABRINA
Last Name:STELFLUG
Suffix:
Gender:F
Credentials:BS, LADC, CCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3825 SHEPHERD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1547
Mailing Address - Country:US
Mailing Address - Phone:612-326-7598
Mailing Address - Fax:651-645-0959
Practice Address - Street 1:1706 UNIVERSITY AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3614
Practice Address - Country:US
Practice Address - Phone:612-326-7598
Practice Address - Fax:651-645-0959
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN301525101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)