MEDICARE: PAR ANDREASSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	78086	CA

General Provider Information

NPI Number	:	1114323789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAR ANDREASSON

Provider Business Mailing Address
First Line	:	1370 MENDOTA HEIGHTS RD
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1281
Country	:	US
Telephone Number	:	651-313-8080
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 OLSON MEMORIAL HWY STE 110
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4811
Country	:	US
Telephone Number	:	651-313-8080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2014
Last Update Date	:	09/11/2025

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Directions to “ PAR ANDREASSON ” Practice Location

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