Warrus, Audrey Patricia
Warrus, Audrey Patricia is an sole proprietor health care provider with primary practice located at 2006 First Ave N Suite B10, Anoka MN 55303-2255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Warrus, Audrey Patricia can be contacted via phone (763) 422-8135.Contact Information
Primary practice address
2006 First Ave N Suite B10
Anoka MN 55303-2255
Phone: (763) 422-8135
Fax: (763) 422-1943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP0165 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT0754 | Minnesota |
Profile Details
| NPI number | 1679619050 |
|---|---|
| LBN Legal business name | Warrus, Audrey Patricia |
| Credentials | MA LP & LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 20th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679619050 | NPPES |
| Minnesota | MEDICAID | 00021 | |
| Minnesota | Other | 53193727 | |
| Minnesota | Other | 00720 | |
| Minnesota | Other | 6264783 | |
| Minnesota | Other | 6C49SWA | |
| Minnesota | MEDICAID | 535248700 | |
| Minnesota | Other | 6C494WA |
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