Individual
ANNE ELIZABETH DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
110 6TH AVE S, SAINT CLOUD, MN 56301-5209
(320) 253-5930
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2782
MN
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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