Lucinda Jo Anderson, MA, LPC

Individual provider Active NPI Mental Health Counselor · St Louis Park, MN

NPI 1275601718 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275601718
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
00155 (MN)
Practice address
5009 Excelsior Blvd
Suite 134
St Louis Park, MN 55416-3049
Phone
(612) 242-5854
NPI assigned
Dec 1, 2006
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00155MNMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00155 MN Yes

Addresses

Primary practice location

5009 Excelsior Blvd
Suite 134
St Louis Park, MN 55416-3049

Mailing address

5009 Excelsior Blvd
Suite 134
St. Louis Park, MN 55416-3049
Phone (612) 242-5854

Other names

  • Cindy J. Anderson Professional name

Other providers in St Louis Park, MN

All providers in St Louis Park, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.