Individual
JANA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(952) 767-5916
Mailing address
18637 JACQUES CT, EDEN PRAIRIE, MN 55346-1127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC04493
MN
Other
Enumeration date
07/31/2024
Last updated
08/19/2024
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