Individual
ALYSSUM MERYL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1114 GRAND AVE, SAINT PAUL, MN 55105-2628
(651) 829-3568
Mailing address
1133 IDAHO AVE W, SAINT PAUL, MN 55108-2232
(612) 298-4601
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4034
MN
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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