Individual
MICHELLE LEE GREYDANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 28TH AVE SW, WILLMAR, MN 56201-5241
(320) 214-8558
(320) 235-2733
Mailing address
PO BOX 337, RAYMOND, MN 56282-0337
(616) 401-6899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/07/2023
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