Randolph Anderson, LADC - Counselor in Golden Valley, MN

Randolph Anderson, LADC is a Counselor - Addiction (substance Use Disorder) based in Golden Valley, Minnesota. Randolph Anderson is licensed to practice in Minnesota (license number 305346) and his current practice location is 5645 Lindsay St, Golden Valley, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 331-5167.

NPI number for Randolph Anderson is 1477185346 and his current mailing address is 5645 Lindsay St, Golden Valley, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477185346.

Contact Information

Randolph Anderson, LADC
5645 Lindsay St,
Golden Valley, MN 55422-4627
(763) 331-5167
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRandolph Anderson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5645 Lindsay St, Golden Valley, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477185346
  • Provider Enumeration Date: 02/10/2020
  • Last Update Date: 03/05/2021

Medical Identifiers

Medical identifiers for Randolph Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477185346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 305346 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randolph Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randolph Anderson, LADC
5645 Lindsay St,
Golden Valley, MN 55422-4627

Ph: (763) 331-5167
Randolph Anderson, LADC
5645 Lindsay St,
Golden Valley, MN 55422-4627

Ph: (763) 331-5167

Reviews and Comments


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