Individual provider · Type 1 NPI

Eric Leroy Sanders, BCC, LADC

Addiction (Substance Use Disorder) Counselor · Fridley, MN

NPI number 1922102003 Active

Practice location

550 Osborne Rd NE
Fridley, MN 55432-2718

Fax (763) 236-4370

Mailing address

545 Rosedale Rd NE
Spring Lake Park, MN 55432-1933

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301705 (MN)

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

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About NPI 1922102003

Eric Leroy Sanders, BCC, LADC's National Provider Identifier is 1922102003, issued on Sep 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fridley, MN. The record was last updated on Jul 8, 2007.