Most Relevant Information
Provider Data
| NPI Number: | 1003388398 |
| Provider Name: | JENNIFER MARIE ANDERSEN LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | CC0219 |
Most Important Dates
| Enumeration Date: | 12/26/2018 |
| Last Updated: | 09/28/2022 |
Provider Practice Location
701 DELLWOOD ST S
CAMBRIDGE
MN
550081920
Practice Location Phone/Fax
| Phone: | 7636898700 |
| Fax: | 7636887941 |
Provider Mailing Location
817 MAIN ST N
CAMBRIDGE
MN
550081275
Provider Mailing Phone/Fax
| Phone: | 7633070610 |
| Fax: |