Individual provider · Type 1 NPI

Shawn S. Gravelle, LPCC

Professional Counselor · Chaska, MN

NPI number 1295855963 Active

Practice location

1107 Hazeltine Blvd Ste 370
Chaska, MN 55318-1009

Fax (651) 395-1442

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC3523 (ID)
Professional Counselor Primary 101YP2500X1217 (MN)

Professional Counselor: Definition to come...

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About NPI 1295855963

Shawn S. Gravelle, LPCC's National Provider Identifier is 1295855963, issued on Mar 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chaska, MN. The record was last updated on Jul 22, 2024.