Otterness, Andrea

Otterness, Andrea is an individual health care provider with primary practice located at 555 W Broadway Ave Ste 1And2 , Forest Lake MN 55025-1175. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Otterness, Andrea can be contacted via phone (651) 777-5222.

Contact Information

Primary practice address
555 W Broadway Ave Ste 1And2 Forest Lake MN 55025-1175
Phone: (651) 777-5222
Fax: (651) 251-5279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302520 Minnesota

Profile Details

NPI number 1831562305
LBN Legal business name Otterness, Andrea
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 11 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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