| Doctor Name: | SANDRA LEE ANDREASEN |
| NPI Number: | 1326097783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LMFT, LPC, LSW |
| License Number: | 00447(LPC) |
| Business Practice Address: | 1406 6th Avenue North St. Cloud Hospital St. Cloud, MN - 563031901 |
| Business Phone Number: | 3202512700 |
| Business Fax Number: | 3206567115 |
| Mailing Address: | 1406 6th Avenue North, St. Cloud Hospital ST. CLOUD |
| State: | MN |
| Postal Code: | 563031901 |
| Phone Number: | 3202512700 |
| Fax Number: | 3206567115 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 00447(LPC) |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |