David Eugene Sanderson, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wadena, MN
NPI 1154840338 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1154840338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 302384 (MN)
- Practice address
- 12214 200TH St
Wadena, MN 56482-3124 - Phone
- (218) 631-3610
- Fax
- (218) 631-3917
- NPI assigned
- Sep 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302384 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Hill Recovery Center | Current |
Accepting new patients |
Locations
12214 200th St
Wadena, MN 56482
Phone (218) 631-3610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302384 | MN | Yes |
Addresses
Primary practice location
12214 200TH St
Wadena, MN 56482-3124
Mailing address
PO Box 206
Wadena, MN 56482-0206
Phone (218) 631-3610
Other providers in Wadena, MN
- Sarah Jean Riedel
- Erin Riemer
- Jenny Lynn Roller
- Jody D Rothermund
- Luke Matthew Sailer
- Shaneen D. Schmidt
- Ashley Jill Schultz
- Schwartzwald Drug Inc.
- Seip Drug LLC
- Paige Selvey
All providers in Wadena, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.