Individual
KRISTIN GREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAAC-AP, LADC
Contact information
Practice address
1294 18TH ST E, HASTINGS, MN 55033-3680
(651) 437-4209
Mailing address
PO BOX 233, BALSAM LAKE, WI 54810-0233
(517) 974-8054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305773
MN
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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