Grant Soe
Counselor, Mental Health in Maple Grove, MN. Individual provider (NPI-1).
NPI number1164079919
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1164079919
- Entity type
- Individual (NPI-1)
- Name
- Grant Soe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
13603 80th Cir NMaple Grove, MN 55369-8961
Phone 763-274-3120 · Fax 763-274-3121
Mailing address
1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Phone 651-628-9566 · Fax 651-628-0411
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All 54 Mental Health Counselor providers in Maple Grove · All 2,061 providers in Maple Grove
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