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LINDA M ANDERSON CDP

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

Registrant NPI Number: 1396012720

Individual Registrant:
 LINDA M ANDERSON CDP
Gender: F
Sole Proprietor

Location and contact information for practice:
6228 E OLD SCHOOL RD  WELLPINIT, WA 99040 US
Tel: 509-258-7502  Fax: 509-258-4480

Contact information for business:
PO BOX 540  WELLPINIT, WA 99040-0540 US
Tel: 509-258-7502  Fax: 509-258-4480

Registration Information:
NPI: 1396012720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WACP00003317

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1467644294WA05




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