Individual
CHRISTLIE A RENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 14TH ST NE, EAST GRAND FORKS, MN 56721-1626
(218) 693-2014
(218) 693-2016
Mailing address
203 14TH ST NE, EAST GRAND FORKS, MN 56721-1626
(218) 693-2014
(218) 693-2016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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