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Organization

GRENVIK COUNSELING & MEDIATION

Active
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Organization

GRENVIK COUNSELING & MEDIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNE G GRENVIK LMFT (BEHAVIORAL HEALTH PROFESSIONAL)
(952) 239-6354
Entity
Organization

Contact information

Practice address
125 W LINCOLN AVE STE 4, FERGUS FALLS, MN 56537-2152
(952) 239-6354
Mailing address
629 W MAPLE AVE, FERGUS FALLS, MN 56537-1941
(952) 239-6354

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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