Anderson, Melissa Jean

Anderson, Melissa Jean is an sole proprietor health care provider with primary practice located at 316 Elm Ave , Moose Lake MN 55767-7706. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Melissa Jean can be contacted via phone (218) 485-4445.

Contact Information

Primary practice address
316 Elm Ave Moose Lake MN 55767-7706
Phone: (218) 485-4445
Fax: (218) 485-0477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1494 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5864 Minnesota

Profile Details

NPI number 1548226251
LBN Legal business name Anderson, Melissa Jean
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Jan 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548226251 NPPES
Minnesota MEDICAID 094906000

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