Individual
REBECCA JANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LP
Contact information
Practice address
5009 EXCELSIOR BLVD STE 134, SAINT LOUIS PARK, MN 55416-3049
(763) 591-1845
Mailing address
501 THEODORE WIRTH PKWY APT 312, GOLDEN VALLEY, MN 55422-5341
(763) 591-1845
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3901
MN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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