Individual provider · Type 1 NPI

Jack David Anderson

Marriage & Family Therapist · Maple Grove, MN

NPI number 1023712882 Active

Practice location

10900 89th Ave N Ste 3
Maple Grove, MN 55369-4025

Call (651) 560-0050 Map

Mailing address

13060 N 3rd Ave Apt 1B
Lindstrom, MN 55045-7322

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1023712882

Jack David Anderson's National Provider Identifier is 1023712882, issued on Mar 27, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Maple Grove, MN. The record was last updated on Mar 27, 2023.