MR. ERIC LEROY SANDERS BCC LADC NPI 1922102003

NPI Information

NPI: 1922102003
Provider Name: MR. ERIC LEROY SANDERS, BCC, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
550 OSBORNE RD NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 236-4569
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MR. Eric Leroy Sanders, BCC, LADC is an addiction (substance use disorder) counselor in Fridley, MN. MR. Eric Leroy Sanders, BCC, LADC NPI is 1922102003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 OSBORNE RD NE
FRIDLEY, MN
ZIP 55432-718
Phone: (763) 236-4569
Fax: (763) 236-4370

The enumeration date for this NPI number is 9/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	301705	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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