Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH ANDERSON, LADC
Active Sole ProprietorRANDOLPH ANDERSON, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1477185346 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GOLDEN VALLEY, MN
Registration Details
- NPI Number
- 1477185346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2020 (6.4736965202015 yrs)
- Last Updated
- Mar 5, 2021
- License
-
305346 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5645 LINDSAY STGOLDEN VALLEY, MN, 554224627Browse MN providers · Browse ZIP 55422
- Phone
- 7633315167
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GOLDEN VALLEY, MN
| Name | Credential | NPI |
|---|---|---|
| MR. LUTHER HOLT | LADC | 1033232707 |
| MADELEINE SPALDING | LADC | 1326809088 |
| STEVEN MAXWELL CEDRUS | LADC | 1548154255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.