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General NPI Number Information
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NPI Number | 1891819686
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Entity Type | Organization
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Legal Business Name | JANET ANDERSON COUNSELING
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 7400 METRO BLVD STE 413
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City | EDINA
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State | MN
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Zip | 55439-2326
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Country | US
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Telephone | 612-598-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 METRO BLVD STE 413
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City | EDINA
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State | MN
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Zip | 55439-2326
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Country | US
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Telephone | 612-598-1414
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JANET MARIE ANDERSON
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Credential | MSW, LICSW
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Telephone | 612-598-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 15441
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License Number State | MN
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