Individual
TOBY JAMES JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 TOWN SQUARE LN, FARIBAULT, MN 55021-6088
(507) 581-2554
Mailing address
1415 TOWN SQUARE LN, FARIBAULT, MN 55021-6088
(507) 581-2554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306775
MN
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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