Individual
BEVERLY GAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-6325
(218) 983-3289
Mailing address
22273 PETERSON LN, DETROIT LAKES, MN 56501-7072
(701) 306-0315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303965
MN
101YM0800X
Mental Health Counselor
Primary
CC03438
MN
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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