Individual
ROBERT GRANQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
570 PROFESSIONAL DRIVE, NORTHFIELD, MN 55057
(301) 301-3412
Mailing address
570 PROFESSIONAL DRIVE, NORTHFIELD, MN 55057
(301) 301-3412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2417
MN
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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