person
Pamela Jean Anderson, LADC
Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota
NPI 1417526567

Pamela Jean Anderson is an Addiction (Substance Use Disorder) Counselor based in Otsego, MN and is specialized in Addiction (Substance Use Disorder). Pamela Jean Anderson practices in Otsego, MN and has the professional credentials of LADC. The NPI Number for Pamela Jean Anderson is 1417526567 and holds a License No. 303440 (Minnesota).

The current practice location address for Pamela Jean Anderson is 9245 Quantrelle Ave Ne, Otsego, MN and can be reached out via phone at 763-746-9492 and via fax at 763-746-3685.

Location: 9245 Quantrelle Ave Ne, Otsego, MN, 55330-0168
person
Provider Profile Details
NPI Number
1417526567
Provider Name
Pamela Jean Anderson
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
9245 Quantrelle Ave Ne, Otsego, MN, 55330-0168
Phone Number
763-746-9492
Fax Number
763-746-3685
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9245 Quantrelle Ave Ne
City
State
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
763-746-3685
person
Provider Business Mailing Address Details
Address
9245 Quantrelle Ave Ne
City
State
Zip
55330-0168
Phone Number
763-746-9492
Fax Number
763-746-3685
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303440 (Minnesota)
Definition
Definition to come...
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