Individual
AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
3201 1ST AVE S, MINNEAPOLIS, MN 55408-4407
(612) 238-6557
Mailing address
3231 1ST AVE S, MINNEAPOLIS, MN 55408-4407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2371
MN
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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