ABAGAIL LM ANDERSON LADC
NPI 1437743002
Counselor - Addiction (Substance Use Disorder) in Mora, MN
Active since February 24, 2021
About Abagail Lm Anderson Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABAGAIL LM ANDERSON LADC (NPI 1437743002) is an individual addiction (substance use disorder) provider in Mora, Minnesota, licensed in Minnesota (304534) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1437743002
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameABAGAIL LM ANDERSONCredential: LADC
Location Address2031 ROWLAND RDMora, MN 55051-7119
Mailing Address2031 Rowland RdMora, MN 55051-7119 · (320) 364-1300 · Fax (651) 323-2558
Phone(320) 364-1300
Fax(651) 323-2558
Sole ProprietorNo
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1437743002 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 · 304534
2031 ROWLAND RD, Mora, MN 55051
Other Names 1
Former Name (1)Abagail Lm Cooper Ladc
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Substance Abuse Rehabilitation Facility
2031 ROWLAND RD
MORA, MN 55051
MORA, MN 55051
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437743002, enumerated as an "individual" on February 24, 2021.
The provider is located at 2031 ROWLAND RD MORA, MN 55051 and the phone number is (320) 364-1300.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).