Individual
RITA JEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
207 PARK AVE S STE 2, PARK RAPIDS, MN 56470-1531
(218) 255-3366
(218) 732-8135
Mailing address
PO BOX 957, PARK RAPIDS, MN 56470-0957
(218) 255-3321
(218) 237-8135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303806
MN
101YM0800X
Mental Health Counselor
1449
MN
101YP2500X
Professional Counselor
Primary
1449
MN
Other
Enumeration date
09/22/2017
Last updated
10/10/2019
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