Individual Provider

Ms. TERESA MARY ANDERSON-KRULL MSW LICSW

NPI Number1922001973

Practice Location

216 E MAIN ST

ALBERT LEA, MN, 56007-2919

Phone

(507) 377-0107

Fax

(507) 377-1194

Mailing Address

216 E MAIN ST

ALBERT LEA, MN, 560072919

Phone

(507) 377-0107

Fax

(507) 377-1194

Other Identifiers

025801

Other (non-Medicare)

State: MNIssuer: VMC Behavioral Healthcare

103903

Other (non-Medicare)

State: MNIssuer: UCare

131L4AN

Other (non-Medicare)

State: MNIssuer: Blue Shield

200819000

MEDICAID

State: MN

HP40008

Other (non-Medicare)

State: MNIssuer: Health Partners

License Information

License Number

2581

State: MN

Important Dates

Enumeration Date

May 23, 2005

Last Updated

July 8, 2007