Kristina Lorraine Anderson
Individual provider Active NPI Mental Health Counselor · White Bear Lake, MN
NPI 1467916155 · NPPES record last updated Jan 26, 2019
Key facts
- NPI
- 1467916155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3680 (MN)
- Practice address
- 3564 Rolling View Dr Ste B
White Bear Lake, MN 55110-7003 - Phone
- (651) 777-6536
- Fax
- (651) 777-6536
- NPI assigned
- Jan 26, 2019
- 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 |
|---|---|---|---|
| 3680 | MN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3680 | MN | Yes |
Addresses
Primary practice location
3564 Rolling View Dr Ste B
White Bear Lake, MN 55110-7003
Mailing address
3564 Rolling View Dr Ste B
White Bear Lake, MN 55110-7003
Phone (651) 777-6536
Other providers in White Bear Lake, MN
- Alliance for Healing PA
- Nicole Altstatt
- Amanda Vaske LLC
- Aurora Elizabeth Ames
- Amiot Spine Care, PLLC
- Paul Daniel Anderson
- Sarah Shore Anderson
- James S Anthony
- Joel Thomas Anthony
- Arcadia Counseling LLC
All providers in White Bear Lake, MN · Mental Health 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 Jan 26, 2019. 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.