Individual
MR. GARY DENNIS CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
900 5TH ST STE 301, INTERNATIONAL FALLS, MN 56649
(218) 285-7029
(218) 285-7072
Mailing address
900 5TH ST STE 301, INTERNATIONAL FALLS, MN 56649
(218) 285-7029
(218) 285-7072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302526
MN
Other
Enumeration date
10/24/2017
Last updated
10/26/2017
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