Individual
CATHERINE LILLIAN NOEMI GARDOS REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
480 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432-2773
(763) 236-3800
(763) 236-3821
Mailing address
2219 TAFT ST NE, MINNEAPOLIS, MN 55418-4129
(612) 788-1822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LICSW-9262
MN
Other
Enumeration date
01/19/2007
Last updated
09/06/2016
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