| Doctor Name: | DARLENE ANTHONISEN |
| NPI Number: | 1063818631 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPCC |
| License Number: | LPC7298 |
| Business Practice Address: | 201 Armstrong Blvd S Saint James, MN - 560811775 |
| Business Phone Number: | 5073753442 |
| Business Fax Number: | 5073751005 |
| Mailing Address: | 421 9th Ave S, SAINT JAMES |
| State: | MN |
| Postal Code: | 560811923 |
| Phone Number: | 5073753442 |
| Fax Number: | 5073751005 |
| NPI Enumeration Date: | 11/10/2014 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC7298 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |