Most Relevant Information
Provider Data
| NPI Number: | 1003214156 |
| Provider Name: | YVETTE ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | CC00801 |
Most Important Dates
| Enumeration Date: | 12/05/2014 |
| Last Updated: | 12/05/2014 |
Provider Practice Location
762 TRANSFER RD STE 21
SAINT PAUL
MN
551141489
Practice Location Phone/Fax
| Phone: | 2183558978 |
| Fax: |
Provider Mailing Location
4481 COUNTY LINE RD
MOOSE LAKE
MN
557679213
Provider Mailing Phone/Fax
| Phone: | 2183558978 |
| Fax: |