Individual
MARNNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
Mailing address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305971
MN
101YP2500X
Professional Counselor
Primary
4186
MN
Other
Enumeration date
12/11/2023
Last updated
01/15/2024
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