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NPI Code Detail

MEDICARE: DANIELLE ANDERSON MS, LPCC

MEDICARE: DANIELLE ANDERSON MS, LPCC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568760031
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ANDERSON MS, LPCC
Provider Business Mailing Address
First Line : 202 N CEDAR AVE STE 1
Second Line :
City : OWATONNA
State : MN
Zip : 55060-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 N CEDAR AVE STE 1
Second Line :
City : OWATONNA
State : MN
Zip : 55060-2306
Country : US
Telephone Number : 507-494-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 06/03/2024

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