Individual provider · NPI-1

John Mayo Anderson

Marriage & Family Therapist · Eden Prairie, MN

NPI number1376794552
StatusActive
Last updated in NPPESSep 25, 2025

Details

NPI
1376794552
Entity type
Individual (NPI-1)
Name
John Mayo Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Oct 6, 2008
Certification date
Sep 25, 2025
Last updated
Sep 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist2074MNYes
101YM0800X Counselor, Mental Health––

Practice location

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959

Phone 952-224-2282 · Fax 958-224-2284

Mailing address

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959

Phone 952-224-2282 · Fax 958-224-2284

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