Individual
ELIANA KATHERINE GRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7041 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 300-3791
Mailing address
7041 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 300-3791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4454
MN
Other
Enumeration date
06/06/2016
Last updated
02/24/2025
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