Mary Ellen Anderson

NPI #1255636759 in Shell Lake, Wisconsin

Provider Information

NPI Number: 1255636759
Entity Type: Individual
Name: Mary Ellen Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 14, 2011
Last Updated: Jan 14, 2011

Practice Location

Address: 246 INDUSTRIAL BLVD
City: Shell Lake
State: Wisconsin
ZIP Code: 54871-8889
Phone: (715) 468-2841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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