Provider Demographics
NPI:1316750763
Name:OKESON, STEFANIE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:OKESON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32104 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-9534
Mailing Address - Country:US
Mailing Address - Phone:320-654-0001
Mailing Address - Fax:
Practice Address - Street 1:32104 COUNTY ROAD 1
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-9534
Practice Address - Country:US
Practice Address - Phone:320-654-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4674106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist