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Kathleen R Gjevre, LADC
Counselor in Eden Prairie, Minnesota
NPI 1649940420

Kathleen R Gjevre is a Counselor based in St. Paul, MN. Kathleen R Gjevre practices in Eden Prairie, MN and has the professional credentials of LADC. The NPI Number for Kathleen R Gjevre is 1649940420 and holds a License No. 305504 (Minnesota).

The current practice location address for Kathleen R Gjevre is 14400 Martin Dr, Eden Prairie, MN and can be reached out via phone at 612-492-1319.

Location: 14400 Martin Dr, Eden Prairie, MN, 55117-0370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649940420
Provider Name
Kathleen R Gjevre
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
14400 Martin Dr, Eden Prairie, MN, 55117-0370
Phone Number
612-492-1319
Fax Number
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14400 Martin Dr
City
Eden Prairie
State
Minnesota
Zip
55344-2031
Phone Number
612-492-1319
Fax Number
person
Provider Business Mailing Address Details
Address
14400 Martin Dr
City
Eden Prairie
State
Minnesota
Zip
55344-2031
Phone Number
612-492-1319
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15221 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
305504 (Minnesota)
Definition
Definition to come...
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