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Individual

RITA JEAN ANDERSON

Active
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Individual

RITA JEAN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303806
MN
101YM0800X
Mental Health Counselor
1449
MN
101YP2500X
Professional Counselor
Primary
1449
MN

Other

Enumeration date
09/22/2017
Last updated
10/10/2019
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