Individual provider · Type 1 NPI

Diane Ruth Anderson, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1780700195 Active

Practice location

4432 Chicago Ave
Minneapolis, MN 55407-3519

Fax (612) 870-2403

Mailing address

4738 Bryant Ave N
Minneapolis, MN 55430-3535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301252 (MN)

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

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About NPI 1780700195

Diane Ruth Anderson, LADC's National Provider Identifier is 1780700195, issued on Mar 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.