Individual
DAVID ROSS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 W 109TH ST, BLOOMINGTON, MN 55438-2374
(651) 278-8658
Mailing address
2113 WUTHERING HEIGHTS RD, EAGAN, MN 55122-1029
(651) 278-8658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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