Individual
MICHELLE GRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC, LAC (ND)
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4200
(486) 621-8331
Mailing address
710 14TH ST S, FARGO, ND 58103-2538
(507) 456-6083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1920
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305623
MN
101YM0800X
Mental Health Counselor
2367
MN
101YM0800X
Mental Health Counselor
CC03452
MN
Other
Enumeration date
10/16/2020
Last updated
12/16/2022
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