Organization
MARKETPLACE COUNSELING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ALEKSANDER GRIBAS MS, LICSW, LADC (PSYCHOTHERAPIST)
(320) 253-4080
Entity
Organization
Contact information
Practice address
110 2ND ST S, SUITE 304, WAITE PARK, MN 56387-1662
(320) 253-4080
Mailing address
110 2ND ST S, SUITE 304, WAITE PARK, MN 56387-1662
(320) 253-4080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11987
MN
251S00000X
Community/Behavioral Health Agency
300992
MN
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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