Individual provider · Type 1 NPI

Andrea Otterness, LADC

Addiction (Substance Use Disorder) Counselor · Forest Lake, MN

NPI number 1831562305 Active

Practice location

555 W Broadway Ave Ste 1AND2
Forest Lake, MN 55025-1175

Call (651) 777-5222 Map

Fax (651) 251-5279

Mailing address

555 West Broadway Ave Suite 2
Forest Lake, MN 55025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302520 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1831562305

Andrea Otterness, LADC's National Provider Identifier is 1831562305, issued on Nov 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Lake, MN. The record was last updated on Nov 5, 2015.