# GRENVIK COUNSELING & MEDIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891347357
- **Authorized official:** JEANNE G GRENVIK LMFT (BEHAVIORAL HEALTH PROFESSIONAL)
- **Authorized official phone:** (952) 239-6354

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2019
- **Last updated:** 07/15/2019