STACEY LYNN WOLFGRAM MA, LMFT
NPI 1346307873
Marriage & Family Therapist in Brooklyn Park, MN

Q: What is Stacey Wolfgram's NPI number?

The NPI number for Stacey Wolfgram is 1346307873. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Stacey Wolfgram's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Wolfgram was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2007

6900 78TH AVE N, BROOKLYN PARK, MN 55445(763) 560-4412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Stacey Lynn Wolfgram Ma, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LYNN WOLFGRAM MA, LMFT (NPI 1346307873) is an individual marriage & family therapist in Brooklyn Park, Minnesota, licensed in Minnesota (1337) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1346307873

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACEY LYNN WOLFGRAMCredential: MA, LMFT

Location Address6900 78TH AVE NBrooklyn Park, MN 55445-2719

Mailing Address410 Pebble Rd NChamplin, MN 55316-1541

Phone(763) 560-4412

Sole ProprietorYes

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346307873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1337

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6900 78TH AVE N, Brooklyn Park, MN 55445

Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA RYAN

Behavior Analyst