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Individual

GABRIELLE BEADELL ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-3749
(715) 838-5222
(952) 443-4604

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10056
NE
106H00000X
Marriage & Family Therapist
Primary
1350
WI
106H00000X
Marriage & Family Therapist
173
NE
106H00000X
Marriage & Family Therapist
3454
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47075636930
NE
Enumeration date
10/14/2014
Last updated
01/25/2024
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