Healthcare Provider Details

I. General information

NPI: 1144455239
Provider Name (Legal Business Name): ERIN GLAWE ANDERSON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 1/2 W 5TH ST
WINONA MN
55987-5131
US

IV. Provider business mailing address

1222 W 5TH ST APT 1/2
WINONA MN
55987-5131
US

V. Phone/Fax

Practice location:
  • Phone: 507-205-3799
  • Fax: 608-797-3479
Mailing address:
  • Phone: 507-452-5033
  • Fax: 507-452-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number575
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4637-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: