Individual
THOMAS GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, C. LPC
Contact information
Practice address
1209 SE 2ND AVE, GRAND RAPIDS, MN 55744-3982
(218) 327-6139
(218) 327-6139
Mailing address
1209 SE 2ND AVE, GRAND RAPIDS, MN 55744-3982
(218) 327-6139
(218) 327-5535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3455-125
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R 89695-5
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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