Individual
MS. SUSAN MAUD GREENHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC LADC
Contact information
Practice address
13895 INDUSTRIAL PARK BLVD STE 140, PLYMOUTH, MN 55441-3712
(763) 559-5677
(763) 559-2116
Mailing address
13895 INDUSTRIAL PARK BLVD STE 140, PLYMOUTH, MN 55441-3712
(763) 559-5677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304020
MN
101YM0800X
Mental Health Counselor
Primary
1842
MN
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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