Individual
JODY ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 444-2255
(507) 444-2251
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 444-2255
(507) 444-2251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301424
MN
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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