Provider Demographics
NPI:1720823784
Name:GRGUROVIC, ANNA PATRICIA PANALIGAN (LPCC)
Entity type:Individual
Prefix:
First Name:ANNA PATRICIA
Middle Name:PANALIGAN
Last Name:GRGUROVIC
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:ANNA PATRICIA
Other - Middle Name:CANNON
Other - Last Name:PANALIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:124 TYLER RD S
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-1733
Mailing Address - Country:US
Mailing Address - Phone:651-977-5001
Mailing Address - Fax:951-977-5002
Practice Address - Street 1:124 TYLER RD S
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-1733
Practice Address - Country:US
Practice Address - Phone:651-977-5001
Practice Address - Fax:651-977-5002
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional