Individual provider · Type 1 NPI

Penny Gillen

Addiction (Substance Use Disorder) Counselor · Otsego, MN

NPI number 1225549520 Active

Practice location

9245 Quantrelle Ave NE
Otsego, MN 55330-0168

Call (763) 746-9492 Map

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225549520

Penny Gillen's National Provider Identifier is 1225549520, issued on Oct 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Otsego, MN. The record was last updated on Oct 13, 2017.