Individual
MS. JUDITH A POPP ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
203 W CLARK ST, ALBERT LEA, MN 56007-2549
(507) 377-5440
(507) 377-5498
Mailing address
PO BOX 1246, ALBERT LEA, MN 56007-1246
(507) 377-5448
(507) 377-5498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300662
MN
1041C0700X
Clinical Social Worker
07487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G631-PO
BLUE CROSS/BLUE SHIELD
MN
01
—
1011650
PREFERRED ONE
—
01
—
62-79619
UBH
—
Enumeration date
11/03/2006
Last updated
09/11/2025
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