ERIC LEROY SANDERS

FRIDLEY, MN
NPI1922102003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301705)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
Mr. ERIC LEROY SANDERS BCC, LADC
550 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-4569
Mailing Address
Mr. ERIC LEROY SANDERS BCC, LADC
545 ROSEDALE RD NE
SPRING LAKE PARK, MN 55432-1933
Phone number: 763-236-4569