Provider Demographics
NPI:1194162776
Name:MEEHAN, ANN CATHERINE (LPCC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CATHERINE
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:CATHERINE
Other - Last Name:CARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6684 147TH ST. W
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378
Mailing Address - Country:US
Mailing Address - Phone:218-750-7292
Mailing Address - Fax:
Practice Address - Street 1:7580 160TH ST. W
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-8348
Practice Address - Country:US
Practice Address - Phone:952-898-1133
Practice Address - Fax:952-435-6797
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health