Individual
MR. ERIC LEROY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCC, LADC
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-4569
(763) 236-4370
Mailing address
545 ROSEDALE RD NE, SPRING LAKE PARK, MN 55432-1933
(763) 236-4569
(763) 236-4370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301705
MN
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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