Organization
GRACE AND RENEWAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA LYNN DOLNEY LPCC (LICENSED MENTAL HEALTH THERAPIST)
(612) 558-6132
Entity
Organization
Contact information
Practice address
680 COMMERCE DR STE 271, WOODBURY, MN 55125-4512
(612) 558-6132
Mailing address
1835 PORTLAND AVE APT 3, SAINT PAUL, MN 55104-6362
(612) 558-6132
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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