Alesha Alina Anderson
Peer Specialist in Fargo, ND. Individual provider (NPI-1).
NPI number1215699822
StatusActive
Last updated in NPPESOct 11, 2021
Details
- NPI
- 1215699822
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alesha Alina Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2021
- Certification date
- Oct 11, 2021
- Last updated
- Oct 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | ND | Yes |
| 172A00000X | Driver | – | ND |
Practice location
111 9th St SFargo, ND 58103-1831
Phone 701-212-8626
Mailing address
21 9th St SFargo, ND 58103-1830
Phone 701-212-8626
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