Richard Paul Grundtner, LADC

NPI #1346615986 in Pine River, Minnesota

Provider Information

NPI Number: 1346615986
Entity Type: Individual
Name: Richard Paul Grundtner, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Dec 8, 2015
Last Updated: Dec 8, 2015

Practice Location

Address: 306 BARCLAY AVE
City: Pine River
State: Minnesota
ZIP Code: 56474-5116
Phone: (218) 838-7765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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