Individual provider · Type 1 NPI
Timothy P. Anderson, MA, LADC-S
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1376146985
Active
Practice location
3737 40th Ave NW
Rochester, MN 55901-1772
Mailing address
5628 Silas Dent Rd NW
Rochester, MN 55901-0195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304740 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376146985
Timothy P. Anderson, MA, LADC-S's National Provider Identifier is 1376146985, issued on Nov 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Nov 17, 2020.