Individual provider · Type 1 NPI

Amanda Pearson

Addiction (Substance Use Disorder) Counselor · Coon Rapids, MN

NPI number 1902445901 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Specialties and licenses

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

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

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About NPI 1902445901

Amanda Pearson's National Provider Identifier is 1902445901, issued on Dec 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 5, 2025.