Individual
MARCELLINE ANNE GANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2724 UNIVERSITY AVE SE STE B, MINNEAPOLIS, MN 55414-3210
(612) 299-1090
Mailing address
336 E 50TH ST, MINNEAPOLIS, MN 55419-1422
(651) 726-4209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2408
MN
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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