Individual
CARRIE MICHELLE MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1700
(612) 236-1701
Mailing address
20509 ENFIELD AVE N, FOREST LAKE, MN 55025-8138
(651) 464-6658
(612) 236-1701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300582
MN
Other
Enumeration date
03/26/2007
Last updated
06/18/2009
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