Individual
THOMAS S GERENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LACD
Contact information
Practice address
1351 FROST AVE, SAINT PAUL, MN 55109-4442
(651) 773-0473
(651) 773-9298
Mailing address
66 9TH ST E, APT. 2314, SAINT PAUL, MN 55101-4700
(651) 330-0506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300284
MN
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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