Jack David Anderson
Jack David Anderson is a Marriage and Family Therapist in Maple Grove, Minnesota. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
10900 89th Ave N Ste 3Maple Grove, MN 55369-4025
Phone: (651) 560-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1023712882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2023 |
| Last updated in NPPES | March 27, 2023 |
| Certification date | March 27, 2023 |
| Mailing address | 13060 N 3rd Ave Apt 1b, Lindstrom, MN 55045-7322 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Maple Grove
-
Amy J. Finn, Marriage and Family Therapy, LLC
7382 Kirkwood Ct, Maple Grove, MN 55369-5270 · (612) 290-8054
-
Jennifer Anderson, LMFT
11280 86th Ave N, Maple Grove, MN 55369-4510 · (763) 400-7828
-
Benjamin Bader, LMFT
12915 63rd Ave N, Maple Grove, MN 55369 · (952) 826-8412
-
Mrs. Megan Lynn Bearce, LMFT
17801 82nd Ave N, Maple Grove, MN 55311-1732 · (612) 356-4789
-
Mr. Eric N Bender, MSLMFT
13603 80th Cir N, Maple Grove, MN 55369-8961 · (763) 416-1489