National Provider Identifier
Randolph Anderson, LADC
Randolph Anderson, LADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Golden Valley, MN and a listed phone number of (763) 331-5167.
Source: public NPPES record, last updated March 05, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1477185346
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 10, 2020
- Last Updated
- March 05, 2021
Practice Location
- 5645 Lindsay St
- Golden Valley, MN 55422-4627
Phone: (763) 331-5167
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Browse Similar Providers
See more providers in the Counselor classification in Minneapolis, MN.
Open Counselor providers in Minneapolis, MN
Open the exact Addiction (Substance Use Disorder) specialty directory in Minneapolis, MN
Biography
Randolph Anderson, RCPF, LADC, is the founder and principal of Bold North Recovery in Golden Valley. His background includes an A.S. in Addiction Counseling from Minneapolis College, a B.A. in Human Services from Bethel University, prior counseling work at RS EDEN/Eden House Recovery Services, and overdose-prevention leadership with the Steve Rummler Hope Network.
Full Record
- NPI
- 1477185346
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Randolph
- Credential
- LADC
- Mailing Street Address
- 5645 Lindsay St
- Mailing City
- Golden Valley
- Mailing State
- MN
- Mailing ZIP Code
- 55422-4627
- Mailing Country
- US
- Mailing Phone
- (763) 331-5167
- Practice Street Address
- 5645 Lindsay St
- Practice City
- Golden Valley
- Practice State
- MN
- Practice ZIP Code
- 55422-4627
- Practice Country
- US
- Practice Phone
- (763) 331-5167
- Enumeration Date
- February 10, 2020
- Last Updated
- March 05, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 05, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)