Individual
SHANA VANDE ZANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(651) 714-9646
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
08/21/2019
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