# ANDERSON JORE COUNSELING PC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245619626
- **Authorized official:** MR. MARK WILLIAM ANDERSON LPCC (PRESIDENT)
- **Authorized official phone:** (218) 326-5694

## Contact information

- **Practice address:** 1749 SE 2ND AVE, GRAND RAPIDS, MN 55744-2576
- **Practice address phone:** (218) 326-5694
- **Practice address fax:** (218) 326-5313
- **Mailing address:** 1749 SE 2ND AVE, GRAND RAPIDS, MN 55744-2576
- **Mailing address phone:** (218) 326-5694
- **Mailing address fax:** (218) 326-5313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 301946 | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 302045 | MN | — |
| 101YM0800X | Mental Health Counselor | CC00977 | MN | Yes |
| 106H00000X | Marriage & Family Therapist | 1451 | MN | — |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015