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MARI GWYN ANDERSON FAIRCHILD LADC
NPI 1487596409
Counselor - Addiction (Substance Use Disorder) in Minnetonka, MN

Active since April 08, 2026
5900 GREEN OAK DR # 306, MINNETONKA, MN 55343(952) 243-8707(612) 484-3752 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mari Gwyn Anderson Fairchild Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARI GWYN ANDERSON FAIRCHILD LADC (NPI 1487596409) is an individual addiction (substance use disorder) provider in Minnetonka, Minnesota, licensed in Minnesota (307588) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1487596409
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARI GWYN ANDERSON FAIRCHILDCredential: LADC
Location Address5900 GREEN OAK DR # 306Minnetonka, MN 55343-4708
Mailing Address5900 Green Oak Dr # 306Minnetonka, MN 55343-4708 · (952) 243-8707 · Fax (612) 484-3752
Phone(952) 243-8707
Fax(612) 484-3752
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1487596409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 307588
5900 GREEN OAK DR # 306, Minnetonka, MN 55343
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mari Anderson Fairchild's NPI number?

The NPI number for Mari Anderson Fairchild is 1487596409. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Mari Anderson Fairchild located?

Mari Anderson Fairchild practices at 5900 Green Oak Dr # 306, Minnetonka, MN 55343. The listed phone number is (952) 243-8707.

What is Mari Anderson Fairchild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mari Anderson Fairchild was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.