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DIETRICH ANDERSON
Mental Health Counselor
NPI: 1669088738Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404 - Phone
- (612) 235-6413
Quick Facts
- NPI
- 1669088738
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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