Madison Gruenewald, MA, LADC

NPI #1821524497 in Shoreview, Minnesota

Provider Information

NPI Number: 1821524497
Entity Type: Individual
Name: Madison Gruenewald, MA, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LADC
Enumeration Date: May 2, 2017
Last Updated: Dec 13, 2024

Practice Location

Address: 4570 CHURCHILL ST STE 300
City: Shoreview
State: Minnesota
ZIP Code: 55126-2274
Phone: (651) 313-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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