person
Ms. Trista M Gottwalt, MS,LADC
Mental Health Counselor in Coon Rapids, Minnesota
NPI 1184291049

Trista M Gottwalt is a Mental Health Counselor based in Pierz, MN and is specialized in Mental Health. Trista M Gottwalt practices in Coon Rapids, MN and has the professional credentials of MS,LADC. The NPI Number for Trista M Gottwalt is 1184291049 and holds a License No. 306045 (Minnesota).

The current practice location address for Trista M Gottwalt is 2140 Northdale Blvd Nw # 220, Coon Rapids, MN and can be reached out via phone at 763-537-6000. You can also correspond with Trista M Gottwalt through the mailing address at 13313 DELORES DR, PIERZ, MN - 56364-4238 (mailing address contact number: 320-360-1810).

Location: 2140 Northdale Blvd Nw # 220, Coon Rapids, MN, 56364-4238
person
Provider Profile Details
NPI Number
1184291049
Provider Name
Trista M Gottwalt
Credential
MS,LADC
Provider Entity Type
Individual
Gender
Female
Address
2140 Northdale Blvd Nw # 220, Coon Rapids, MN, 56364-4238
Phone Number
763-537-6000
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2140 Northdale Blvd Nw # 220
City
State
Zip
55433-3005
Phone Number
763-537-6000
Fax Number
person
Provider Business Mailing Address Details
Address
13313 Delores Dr
City
State
Zip
56364-4238
Phone Number
320-360-1810
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4115 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
306045 (Minnesota)
Definition
Definition to come...
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