Anna Marie Groen

Individual provider Active NPI Mental Health Counselor · Lakeville, MN

NPI 1013293158 · NPPES record last updated Jan 23, 2018

Key facts

NPI
1013293158
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
7580 160TH St. W.,
Lakeville, MN 55044
Phone
(952) 564-6281
Fax
(952) 435-6797
NPI assigned
Nov 2, 2011
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

7580 160TH St. W.,
Lakeville, MN 55044

Mailing address

7580 160TH St. W,
Lakeville, MN 55044
Phone (952) 564-6281

Other providers in Lakeville, MN

All providers in Lakeville, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.