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JEFFREY ANDERSON CADC-CS, ICCS, ICADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891151015

Individual Registrant:
 JEFFREY  ANDERSON CADC-CS, ICCS, ICADC
Gender: M
Sole Proprietor

Location and contact information for practice:
555 S PALM CANYON DR STE A202  PALM SPRINGS, CA 92264-7210 US
Tel: 760-892-4538  Fax: 760-318-0610

Contact information for business:
555 S PALM CANYON DR STE A202  PALM SPRINGS, CA 92264-7210 US
Tel: 760-892-4538  Fax: 760-318-0610

Registration Information:
NPI: 1891151015
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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