| Doctor Name: | LAURA JEAN STICHTER |
| NPI Number: | 1467723304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPCC |
| License Number: | |
| Business Practice Address: | 5354 Parkdale Dr 2nd Floor Saint Louis Park, MN - 554161603 |
| Business Phone Number: | 6516455323 |
| Business Fax Number: | 9527465962 |
| Mailing Address: | 1295 Bandana Blvd W, Suite 210 ST. PAUL |
| State: | MN |
| Postal Code: | 55108 |
| Phone Number: | 6516455323 |
| Fax Number: | 6516218490 |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |