Provider Demographics
NPI:1073030805
Name:NETTER, ALLISON KAY (MS LPCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:KAY
Last Name:NETTER
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 SEQUOIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4755
Mailing Address - Country:US
Mailing Address - Phone:320-808-8282
Mailing Address - Fax:
Practice Address - Street 1:411 3RD ST N
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1177
Practice Address - Country:US
Practice Address - Phone:320-230-0611
Practice Address - Fax:320-251-4175
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN03557101YP2500X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist