Individual provider · Type 1 NPI
Kathy Gruis, MA, LPCC
Professional Counselor · Worthington, MN
NPI number
1609308014
Active
Practice location
1210 5th Ave
Worthington, MN 56187-2432
Fax (507) 376-4494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1501 (MN) |
Professional Counselor: Definition to come...
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About NPI 1609308014
Kathy Gruis, MA, LPCC's National Provider Identifier is 1609308014, issued on Apr 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Worthington, MN. The record was last updated on Apr 3, 2017.