Individual provider · Type 1 NPI
Robert David Andrews-Mendoza, LADC
Addiction (Substance Use Disorder) Counselor · Maple Grove, MN
NPI number
1558824490
Active
Practice location
11901 Central Park Way Unit 2327
Maple Grove, MN 55369-2664
Fax (218) 454-1083
Other practice locations
- 13 3rd St NE, Aitkin, MN 56431-1421 · (218) 928-8021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305422 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1558824490
Robert David Andrews-Mendoza, LADC's National Provider Identifier is 1558824490, issued on Apr 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Apr 21, 2021.