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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304740 (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.