MRS. Charly Candas Vangrinsven, B.S.,LADC

NPI #1982077541 in Bemidji, Minnesota

Provider Information

NPI Number: 1982077541
Entity Type: Individual
Name: MRS. Charly Candas Vangrinsven, B.S.,LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: B.S.,LADC
Enumeration Date: Nov 4, 2015
Last Updated: Oct 16, 2024

Practice Location

Address: 1705 ANNE ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-6151
Phone: (218) 333-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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