Individual
LEONE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 3RD AVE SW, PINE CITY, MN 55063-1443
(612) 275-5259
Mailing address
645 3RD AVE SW, PINE CITY, MN 55063-1443
(612) 275-5259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303283
MN
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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