Mary Anders | |
13911 Ridgedale Dr Suite 330 Minnetonka MN 55305-1771 | |
(763) 447-5793 | |
Not Available |
Full Name | Mary Anders |
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Speciality | Counselor - Mental Health |
Location | 13911 Ridgedale Dr, Minnetonka, Minnesota |
Authorized Official Name and Position | Mary Anders (OWNER) |
Authorized Official Contact | 7634475793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mary Anders 13911 Ridgedale Dr Suite 330 Minnetonka MN 55305-1771 Ph: (763) 447-5793 | Mary Anders 13911 Ridgedale Dr Suite 330 Minnetonka MN 55305-1771 Ph: (763) 447-5793 |
NPI Number | 1801117643 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 06/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801117643 | NPI | - | NPPES |
857725100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LP3976 (Minnesota) | Primary |
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