Organization
DMA CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL ANDERSON D.MIN. (MANAGING MEMBER)
(651) 257-4406
Entity
Organization
Contact information
Practice address
24799 FOREST BLVD, FOREST LAKE, MN 55025-7215
(651) 257-4406
(651) 257-4406
Mailing address
PO BOX 536, FOREST LAKE, MN 55025-0536
(651) 257-4406
(651) 257-4406
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1061
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172491
UCARE
MN
01
—
6274983
MEDICA
MN
01
—
9629
BCBS
MN
01
—
9630
BCBS
MN
Enumeration date
03/30/2007
Last updated
08/22/2020
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