ANDREA OTTERNESS

FOREST LAKE, MN
NPI1831562305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302520)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
Ms. ANDREA OTTERNESS LADC
555 W BROADWAY AVE STE 1AND2
FOREST LAKE, MN 55025-1175
Phone number: 651-777-5222
Mailing Address
Ms. ANDREA OTTERNESS LADC
555 WEST BROADWAY AVE SUITE 2
FOREST LAKE, MN 55025
Phone number: 651-777-5222
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