Healthcare Provider Details

I. General information

NPI: 1699366799
Provider Name (Legal Business Name): LINDA ELAINE ANDERSON CLINICAL TRAINEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 S POKEGAMA AVE
GRAND RAPIDS MN
55744-3800
US

IV. Provider business mailing address

516 S POKEGAMA AVE
GRAND RAPIDS MN
55744-3800
US

V. Phone/Fax

Practice location:
  • Phone: 612-964-1724
  • Fax:
Mailing address:
  • Phone: 612-964-1724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: