Gottwalt, Trista M

Gottwalt, Trista M is an individual health care provider with primary practice located at 2140 Northdale Blvd Nw # 220 , Coon Rapids MN 55433-3005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gottwalt, Trista M can be contacted via phone (763) 537-6000.

Contact Information

Primary practice address
2140 Northdale Blvd Nw # 220 Coon Rapids MN 55433-3005
Phone: (763) 537-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 306045 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4115 Minnesota

Profile Details

NPI number 1184291049
LBN Legal business name Gottwalt, Trista M
Credentials MS, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Nov 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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