Provider Demographics
NPI:1982932802
Name:BRITTON, JONI KARLA (MA ED, LICSW)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:KARLA
Last Name:BRITTON
Suffix:
Gender:F
Credentials:MA ED, LICSW
Other - Prefix:
Other - First Name:JONI
Other - Middle Name:KARLA
Other - Last Name:ANDRASHKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA ED, LICSW
Mailing Address - Street 1:2829 VERNDALE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-1620
Mailing Address - Country:US
Mailing Address - Phone:763-231-2590
Mailing Address - Fax:612-728-5301
Practice Address - Street 1:2829 VERNDALE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1620
Practice Address - Country:US
Practice Address - Phone:763-231-2590
Practice Address - Fax:612-728-5301
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117661041C0700X
MN3582881041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool