Organization
JOURNEY COUNSELING, LLC
Active
Other names
Vian M Gredvig
Organization subpart
No
Provider details
NPI number
Authorized official
VIAN MAUREEN GREDVIG (SOLE OWNER AND PROVIDER)
(952) 224-4862
Entity
Organization
Contact information
Practice address
1001 TWELVE OAKS CENTER DR STE 1030D, WAYZATA, MN 55391-4320
(952) 224-4862
(952) 224-4862
Mailing address
10217 CRESTRIDGE DR, MINNETONKA, MN 55305-1605
(952) 412-4490
(952) 224-4862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6577
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942246806
NPI 1
MN
05
—
1942246806
—
MN
01
—
1942683669
NPI 2
MN
05
—
1942683669
—
MN
Enumeration date
06/30/2015
Last updated
02/04/2023
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