Individual
GALEN DEREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(651) 964-3702
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304266
MN
Other
Enumeration date
10/07/2020
Last updated
06/23/2021
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