Individual
ABAGAIL LM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2031 ROWLAND RD, MORA, MN 55051-7119
(320) 364-1300
(651) 323-2558
Mailing address
2031 ROWLAND RD, MORA, MN 55051-7119
(320) 364-1300
(651) 323-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304534
MN
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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