Organization
GRANDER LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE E CARLSON LPCC-S, RPT-S (OWNER, MENTAL HEALTH COUNSELOR)
(952) 220-9283
Entity
Organization
Contact information
Practice address
7924 VICTORIA DR STE 201C, VICTORIA, MN 55386-2801
(952) 220-9283
Mailing address
PO BOX 2, 7924 VICTORIA DRIVE STE. 201C, VICTORIA, MN 55386
(952) 220-9283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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