Individual
KATHRYN MARGARET ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1008 BARRETT ST, SAINT PAUL, MN 55103-1311
(612) 381-4363
Mailing address
1008 BARRETT ST, SAINT PAUL, MN 55103-1311
(612) 381-4363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305565
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
10/03/2023
Last updated
09/06/2024
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