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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301705 (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.