Organization
ANDERSON JORE COUNSELING PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIAM ANDERSON LPCC (PRESIDENT)
(218) 326-5694
Entity
Organization
Contact information
Practice address
1749 SE 2ND AVE, GRAND RAPIDS, MN 55744-2576
(218) 326-5694
(218) 326-5313
Mailing address
1749 SE 2ND AVE, GRAND RAPIDS, MN 55744-2576
(218) 326-5694
(218) 326-5313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301946
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
302045
MN
101YM0800X
Mental Health Counselor
Primary
CC00977
MN
106H00000X
Marriage & Family Therapist
1451
MN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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