Individual
ROBERT DAVID ANDREWS-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11901 CENTRAL PARK WAY UNIT 2327, MAPLE GROVE, MN 55369-2664
(612) 701-3084
(218) 454-1083
Mailing address
11901 CENTRAL PARK WAY UNIT 2327, MAPLE GROVE, MN 55369-2664
(612) 701-3084
(218) 454-1083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305422
MN
Other
Enumeration date
04/08/2019
Last updated
04/21/2021
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