Individual
HEATHER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LADC
Contact information
Practice address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 294-9262
(651) 666-2914
Mailing address
545 7TH ST W, SAINT PAUL, MN 55102-3007
(612) 294-9262
(651) 666-2914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304870
MN
101YM0800X
Mental Health Counselor
Primary
2404
MN
Other
Enumeration date
02/13/2019
Last updated
08/02/2024
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