Individual
KATHLEEN R GJEVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
595 SELBY AVE, SAINT PAUL, MN 55102-1730
(612) 492-1319
Mailing address
595 SELBY AVE, SAINT PAUL, MN 55102-1730
(612) 492-1319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
15221
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
305504
MN
101YP2500X
Professional Counselor
Primary
4302
MN
Other
Enumeration date
09/14/2021
Last updated
01/06/2025
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