Ashti Jamunar Anderson
Individual provider Active NPI Counselor · St Louis Park, MN
NPI 1689407728 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1689407728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 7601 Wayzata Blvd
St Louis Park, MN 55426-1623 - Phone
- (612) 223-8898
- NPI assigned
- Aug 23, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Mailing address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. 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.