Individual
CRYSTAL LEE GIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
301 E LYON ST, MINNEOTA, MN 56264-9659
(507) 476-7790
Mailing address
607 W MAIN ST STE 100, MARSHALL, MN 56258-3170
(507) 537-6747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305455
MN
Other
Enumeration date
11/30/2021
Last updated
12/10/2021
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