Individual
ALLIE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 322-7752
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC02780
MN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
03/23/2021
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