Provider Demographics
NPI:1265788848
Name:BOONE, ANNE E (LMFT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:BOONE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 SNELLING AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3157
Mailing Address - Country:US
Mailing Address - Phone:612-874-6409
Mailing Address - Fax:612-874-0157
Practice Address - Street 1:2312 SNELLING AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3157
Practice Address - Country:US
Practice Address - Phone:612-874-6409
Practice Address - Fax:612-874-0157
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist