Yvette Anderson
Individual provider Active NPI Professional Counselor · Saint Paul, MN
NPI 1003214156 · NPPES record last updated Dec 5, 2014
Key facts
- NPI
- 1003214156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC00801 (MN)
- Practice address
- 762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489 - Phone
- (218) 355-8978
- NPI assigned
- Dec 5, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00801 | MN | MD | Professional Counselor |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/557d7750-391a-46cd-b368-48399c62b8b9/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00801 | MN | Yes |
Addresses
Primary practice location
762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Mailing address
4481 County Line Rd
Moose Lake, MN 55767-9213
Phone (218) 355-8978
Other names
- Yvette Mulford
Other providers in Saint Paul, MN
- Steven Duane Anderson
- Susan C Anderson
- Thomas R Anderson
- Tracie Anderson
- Vicki M Anderson
- Elizabeth Andrade
- Nathaly Andrade
- James C Andrea
- John A Andreozzi
- Jennifer S Andrews-Gonzaga
All providers in Saint Paul, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.