| Doctor Name: | SUE ANNE MARIE LAMMERT |
| NPI Number: | 1144575192 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 01226 |
| Business Practice Address: | 3300 Bass Lake Rd Suite 500 Brooklyn Center, MN - 554293072 |
| Business Phone Number: | 7635608331 |
| Business Fax Number: | |
| Mailing Address: | 6922 Corvallis Ave N, CRYSTAL |
| State: | MN |
| Postal Code: | 554284334 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2012 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 01226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |