person
Randolph Anderson, LADC
Addiction (Substance Use Disorder) Counselor in Golden Valley, Minnesota
NPI 1477185346

Randolph Anderson is an Addiction (Substance Use Disorder) Counselor based in Golden Valley, MN and is specialized in Addiction (Substance Use Disorder). Randolph Anderson practices in Golden Valley, MN and has the professional credentials of LADC. The NPI Number for Randolph Anderson is 1477185346 and holds a License No. 305346 (Minnesota).

The current practice location address for Randolph Anderson is 5645 Lindsay St, Golden Valley, MN and can be reached out via phone at 763-331-5167. You can also correspond with Randolph Anderson through the mailing address at 5645 LINDSAY ST, GOLDEN VALLEY, MN - 55422-4627 (mailing address contact number: 763-331-5167).

Location: 5645 Lindsay St, Golden Valley, MN, 55422-4627
person
Provider Profile Details
NPI Number
1477185346
Provider Name
Randolph Anderson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
5645 Lindsay St, Golden Valley, MN, 55422-4627
Phone Number
763-331-5167
Fax Number
Provider Enumeration Date
02/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5645 Lindsay St
City
State
Zip
55422-4627
Phone Number
763-331-5167
Fax Number
person
Provider Business Mailing Address Details
Address
5645 Lindsay St
City
State
Zip
55422-4627
Phone Number
763-331-5167
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305346 (Minnesota)
Definition
Definition to come...
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