Individual
MICHAEL JAMES GARDOS REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, BC-DMT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-6722
Mailing address
2219 TAFT ST NE, MINNEAPOLIS, MN 55418-4129
(612) 532-5523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
250
MN
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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