Individual
DANA SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
300 11TH AVE NW STE 120, ROCHESTER, MN 55901-2739
(507) 229-0740
Mailing address
300 11TH AVE NW STE 120, ROCHESTER, MN 55901-2739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303960
MN
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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