Individual provider · Type 1 NPI

Randolph Anderson, LADC

Addiction (Substance Use Disorder) Counselor · Golden Valley, MN

NPI number 1477185346 Active

Practice location

5645 Lindsay St
Golden Valley, MN 55422-4627

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305346 (MN)

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

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About NPI 1477185346

Randolph Anderson, LADC's National Provider Identifier is 1477185346, issued on Feb 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Golden Valley, MN. The record was last updated on Mar 5, 2021.