Individual provider · Type 1 NPI

Pamela Jean Anderson, LADC

Addiction (Substance Use Disorder) Counselor · Otsego, MN

NPI number 1417526567 Active

Practice location

9245 Quantrelle Ave NE
Otsego, MN 55330-0168

Call (763) 746-9492 Map

Fax (763) 746-3685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303440 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417526567

Pamela Jean Anderson, LADC's National Provider Identifier is 1417526567, issued on Jun 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Otsego, MN. The record was last updated on Jun 23, 2021.