Individual
MR. MARK ANDREW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
2550 UNIVERSITY AVE W STE 310N, SAINT PAUL, MN 55114-1903
(651) 379-5157
Mailing address
1123 N CUDD AVE, RIVER FALLS, WI 54022-2554
(715) 222-6988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
604 124
WI
106H00000X
Marriage & Family Therapist
Primary
890
MN
Other
Enumeration date
08/29/2006
Last updated
07/09/2007
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