Individual
MS. MARGENE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CDCII, CDCS
Contact information
Practice address
659 BIELENBERG DR, WOODBURY, MN 55125-1706
(651) 259-9700
(651) 259-9780
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3477
AK
101YP2500X
Professional Counselor
Primary
476
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0156
—
AK
Enumeration date
09/29/2006
Last updated
04/30/2019
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