Jovanna Anderson
Individual provider Active NPI Professional Counselor · New Brighton, MN
NPI 1760127674 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1760127674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439 - Phone
- (651) 482-9361
- NPI assigned
- May 4, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439
Mailing address
900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439
Phone (651) 482-9361
Other providers in New Brighton, MN
- Ramla Mustafa Amin
- Amor Home Care Services, LLC
- Courtney M Anderson
- Denika Lynn Anderson
- Jordan Nicholas Anderson
- Kimberly Anderson
- Leah Marie Anderson
- Mark Eric Anderson
- Rie Anderson
- Sarah Mae Anikpo
All providers in New Brighton, 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 May 4, 2022. 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.