Healthcare Provider Details

I. General information

NPI: 1881529071
Provider Name (Legal Business Name): ANNIKA GRACE BJORGE ANDERSON MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E LINCOLN AVE
FERGUS FALLS MN
56537-2217
US

IV. Provider business mailing address

927 W CAVOUR AVE
FERGUS FALLS MN
56537-1035
US

V. Phone/Fax

Practice location:
  • Phone: 320-360-4297
  • Fax:
Mailing address:
  • Phone: 320-360-4297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3326
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: