Individual provider · Type 1 NPI

Madison Gruenewald, MA, LADC

Professional Counselor · Shoreview, MN

NPI number 1821524497 Active

Practice location

4570 Churchill St Ste 300
Shoreview, MN 55126-2274

Call (651) 313-8080 Map

Mailing address

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304326 (MN)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1821524497

Madison Gruenewald, MA, LADC's National Provider Identifier is 1821524497, issued on May 2, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shoreview, MN. The record was last updated on Dec 13, 2024.