MEDICARE: ANNA CLAVIN

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	2926	MN

General Provider Information

NPI Number	:	1366892366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA CLAVIN

Provider Business Mailing Address
First Line	:	1257 2ND ST N
Second Line	:
City	:	SAUK RAPIDS
State	:	MN
Zip	:	56379-4595
Country	:	US
Telephone Number	:	320-406-1600
Fax Number	:	320-297-4720

Provider Business Practice Location Address
First Line	:	1257 2ND ST N
Second Line	:
City	:	SAUK RAPIDS
State	:	MN
Zip	:	56379-4595
Country	:	US
Telephone Number	:	320-297-4720
Fax Number	:

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

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	02/20/2026

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Directions to “ ANNA CLAVIN ” Practice Location

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