Individual provider · Type 1 NPI
Thomas S. Gerenz, LACD
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1851474290
Active
Practice location
1351 Frost Ave
St. Paul, MN 55109-4442
Fax (651) 773-9298
Mailing address
66 9th St E, Apt. 2314
St. Paul, MN 55101-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300284 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1851474290
Thomas S. Gerenz, LACD's National Provider Identifier is 1851474290, issued on Oct 21, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.