| Richard Paul Grundtner, LADC | |
|
306 Barclay Ave, Pine River, MN 56474-5116 | |
| (218) 838-7765 | |
| Not Available |
| Full Name | Richard Paul Grundtner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 306 Barclay Ave, Pine River, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346615986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303740 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Paul Grundtner, LADC 207 28th Ave Sw, Backus, MN 56435-2323 Ph: (218) 838-7765 | Richard Paul Grundtner, LADC 306 Barclay Ave, Pine River, MN 56474-5116 Ph: (218) 838-7765 |
Stacy Louise Gustafson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 980 1st St N, Pine River, MN 56474 Phone: 218-587-8036 | |
Sarah Hendrickson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Barclay Ave, Unit 101, Pine River, MN 56474 Phone: 218-232-8433 |