Individual
ELLEN CATHERINE GISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
7362 UNIVERSITY AVE NE STE 101, FRIDLEY, MN 55432-3152
(763) 503-3981
Mailing address
13608 GLADIOLA ST NW, ANDOVER, MN 55304-3849
(612) 306-3244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1665
MN
Other
Enumeration date
11/16/2017
Last updated
05/10/2018
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