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Kary J Gillenwaters, OTR/L
Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota
NPI 1316954985

Kary J Gillenwaters is an Addiction (Substance Use Disorder) Counselor based in Otsego, MN and is specialized in Addiction (Substance Use Disorder). Kary J Gillenwaters practices in Otsego, MN and has the professional credentials of OTR/L. The NPI Number for Kary J Gillenwaters is 1316954985 and holds a License No. 1458 (Minnesota).

The current practice location address for Kary J Gillenwaters is 15590 90Th St Ne, Otsego, MN and can be reached out via phone at 763-755-4275.

Location: 15590 90Th St Ne, Otsego, MN, 55330-9452
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Provider Profile Details
NPI Number
1316954985
Provider Name
Kary J Gillenwaters
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
15590 90Th St Ne, Otsego, MN, 55330-9452
Phone Number
763-755-4275
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018808 01 ND BCBS OF ND PIN
institution
Provider Business Practice Location Address Details
Address
15590 90Th St Ne
City
State
Zip
55330-9452
Phone Number
763-755-4275
Fax Number
person
Provider Business Mailing Address Details
Address
15590 90Th St Ne
City
State
Zip
55330-9452
Phone Number
763-755-4275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1458 (North Dakota)
Definition
Definition to come...
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