Individual
TIMOTHY P ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC-S
Contact information
Practice address
3737 40TH AVE NW, ROCHESTER, MN 55901-1772
(651) 724-5648
Mailing address
5628 SILAS DENT RD NW, ROCHESTER, MN 55901-0195
(651) 724-5648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304740
MN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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