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KENNETH ALAN ANDERSON LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144420480

Individual Registrant:
 KENNETH ALAN ANDERSON LMHC
Gender: M
Sole Proprietor

Location and contact information for practice:
7809 MASSACHUSETTS AVE POST OFFICE BOX 428 NEW PORT RICHEY, FL 34653-3028 US
Tel: 727-841-4200  Fax: 727-816-1760

Contact information for business:
14527 7TH ST  DADE CITY, FL 33523-3102 US
Tel: 352-521-1474  Fax: 352-521-1477

Registration Information:
NPI: 1144420480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH2311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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