Individual provider · Type 1 NPI

Kary J. Gillenwaters, OTR/L

Addiction (Substance Use Disorder) Counselor · Otsego, MN

NPI number 1316954985 Active

Practice location

15590 90th St NE
Otsego, MN 55330-9452

Call (763) 755-4275 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1458 (ND)

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

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About NPI 1316954985

Kary J. Gillenwaters, OTR/L's National Provider Identifier is 1316954985, issued on Aug 3, 2006. 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 Feb 6, 2014.