Individual
CHRISTIAN TODD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7372 KIRKWOOD CT, MAPLE GROVE, MN 55369-5202
(763) 416-4167
Mailing address
6330 ALWIN CIR, MOUND, MN 55364-8627
(763) 213-2576
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4615
MN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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