Individual
LUCINDA JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 134, ST LOUIS PARK, MN 55416-3049
(612) 242-5854
Mailing address
5009 EXCELSIOR BLVD, SUITE 134, ST. LOUIS PARK, MN 55416-3049
(612) 242-5854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00155
MN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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