MR. DAVID EUGENE SANDERSON LADC
NPI 1154840338
Counselor - Addiction (Substance Use Disorder) in Wadena, MN

Active since September 19, 2017
12214 200TH ST, WADENA, MN 56482(218) 631-3610(218) 631-3917 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Mr. David Eugene Sanderson Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID EUGENE SANDERSON LADC (NPI 1154840338) is an individual addiction (substance use disorder) provider in Wadena, Minnesota, licensed in Minnesota (302384) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1154840338
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DAVID EUGENE SANDERSONCredential: LADC
Location Address12214 200TH STWadena, MN 56482-3124
Mailing AddressPo Box 206Wadena, MN 56482-0206 · (218) 631-3610 · Fax (218) 631-3917
Fax(218) 631-3917
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1154840338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 302384
12214 200TH ST, Wadena, MN 56482

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
12214 200TH ST
WADENA, MN 56482
Counselor (Addiction (Substance Use Disorder))
12214 200TH ST
WADENA, MN 56482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Sanderson's NPI number?

The NPI number for David Sanderson is 1154840338. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is David Sanderson located?

David Sanderson practices at 12214 200th St, Wadena, MN 56482. The listed phone number is (218) 631-3610.

What is David Sanderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Sanderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.