IndividualActive
Anderson Saint Georges, LADC
NPI 1407367444 · Addiction (Substance Use Disorder) Counselor · Detroit Lakes, MN
Provider details
- NPI number
- 1407367444
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Male
- Sole proprietor
- No
- License
- 304866 (MN)
Mailing address
811 8th St Se
Detroit Lakes, MN 56501-2842
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2017-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.