Individual
MADISON GRUENEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
4570 CHURCHILL ST STE 300, SHOREVIEW, MN 55126-2274
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304326
MN
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
12/13/2024
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