Individual provider · Type 1 NPI

Dietrich Anderson

Mental Health Counselor · Minneapolis, MN

NPI number 1669088738 Active

Practice location

2118 Blaisdell Ave
Minneapolis, MN 55404-2415

Call (612) 235-6413 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1669088738

Dietrich Anderson's National Provider Identifier is 1669088738, issued on Sep 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 1, 2025.