Individual
PAULA KAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
1515 5TH AVE S STE B, SOUTH SAINT PAUL, MN 55075-3453
(651) 756-8460
(651) 756-8470
Mailing address
1515 5TH AVE S STE B, SOUTH SAINT PAUL, MN 55075-3453
(651) 756-8460
(651) 756-8470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03324
MN
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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