Organization
KATHLEEN ANDERSON MS LMFT LLC
Active
Other names
Mental Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANDERSON LMFT (OWNER)
(320) 224-1853
Entity
Organization
Contact information
Practice address
15088 22ND AVE NE # 101, LITTLE FALLS, MN 56345-4199
(320) 224-1853
Mailing address
14949 SANDPIPER DR, LITTLE FALLS, MN 56345-3394
(320) 224-1853
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750687406
—
MN
Enumeration date
05/17/2021
Last updated
05/17/2021
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