Individual
MANDY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 10TH ST NW STE 2, MILACA, MN 56353-1737
(320) 983-2335
Mailing address
1125 11TH ST N, SAUK RAPIDS, MN 56379-2411
(320) 250-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19081
MN
Other
Enumeration date
05/01/2019
Last updated
03/07/2024
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