Penny Gillen

NPI #1225549520 in Otsego, Minnesota

Provider Information

NPI Number
1225549520
Entity Type
Individual
Name
Penny Gillen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 13, 2017
Last Updated
Oct 13, 2017

Practice Location

Address
9245 QUANTRELLE AVE NE
City
Otsego
ZIP Code
55330-0168
Phone
(763) 746-9492

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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