Individual
BRENDA SUE GREIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
480 W 78TH ST STE 111, CHANHASSEN, MN 55317-4528
(612) 567-8817
Mailing address
480 W 78TH ST STE 111, CHANHASSEN, MN 55317-4528
(612) 567-8817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304668
MN
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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