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Penny Gillen
Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota
NPI 1225549520

Penny Gillen is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). Penny Gillen practices in Otsego, MN. The NPI Number for Penny Gillen is 1225549520 and holds a License No. (Minnesota).

The current practice location address for Penny Gillen is 9245 Quantrelle Ave Ne, Otsego, MN and can be reached out via phone at 763-746-9492.

Location: 9245 Quantrelle Ave Ne, Otsego, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225549520
Provider Name
Penny Gillen
Credential
Provider Entity Type
Individual
Gender
Female
Address
9245 Quantrelle Ave Ne, Otsego, MN, 55112-1786
Phone Number
763-746-9492
Fax Number
Provider Enumeration Date
10/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9245 Quantrelle Ave Ne
City
Otsego
State
Minnesota
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
person
Provider Business Mailing Address Details
Address
9245 Quantrelle Ave Ne
City
Otsego
State
Minnesota
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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