Individual
ERIK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
(563) 582-3784
Mailing address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
(563) 582-3784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10080
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10080
CADC
IA
Enumeration date
01/06/2014
Last updated
01/06/2014
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