Individual
ANIKA L ATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
22 WILSON AVE NE STE 110, SAINT CLOUD, MN 56304-0440
(320) 251-7700
(320) 251-8898
Mailing address
4350 MAYFLOWER RD NW, SAUK RAPIDS, MN 56379-9515
(320) 293-2882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1784
MN
Other
Enumeration date
04/02/2018
Last updated
06/16/2018
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