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Andrea Lane
Addiction (Substance Use Disorder) Counselor in Andover, Minnesota
NPI 1760082143

Andrea Lane is an Addiction (Substance Use Disorder) Counselor based in Andover, MN and is specialized in Addiction (Substance Use Disorder). Andrea Lane practices in Andover, MN. The NPI Number for Andrea Lane is 1760082143 and holds a License No. 305243 (Minnesota).

The current practice location address for Andrea Lane is 1875 Station Pkwy Nw, Andover, MN and can be reached out via phone at 763-482-9598.

Location: 1875 Station Pkwy Nw, Andover, MN, 55304-3319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760082143
Provider Name
Andrea Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
1875 Station Pkwy Nw, Andover, MN, 55304-3319
Phone Number
763-482-9598
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1875 Station Pkwy Nw
City
Andover
State
Minnesota
Zip
55304
Phone Number
763-482-9598
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Station Pkwy Nw
City
Andover
State
Minnesota
Zip
55304
Phone Number
763-482-9598
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
305243 (Minnesota)
Definition
Definition to come...
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