Individual
ANISSA NICOLE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LICSW
Contact information
Practice address
1437 MARSHALL AVE # 204, SAINT PAUL, MN 55104-6350
(612) 284-8115
(763) 273-8892
Mailing address
3300 COUNTY ROAD 10, STE 204B, BROOKLYN CENTER, MN 55429-3072
(763) 447-5573
(763) 273-8892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
23288
MN
106H00000X
Marriage & Family Therapist
Primary
2538
MN
Other
Enumeration date
07/11/2012
Last updated
05/08/2018
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