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MINDI ANN ANDERSON CAADE CATC III
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1841710282
Individual Registrant: MINDI ANN ANDERSON CAADE CATC III
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
856 N SACRAMENTO ST STE H LODI, CA 95240-1251 US
Tel: 209-367-5433 Fax: --
Tel: 209-367-5433 Fax: --
Contact information for business:
856 N SACRAMENTO ST STE H LODI, CA 95240-1251 US
Tel: (20-9) -376-5433 Fax: --
Tel: (20-9) -376-5433 Fax: --
Registration Information:
NPI: 1841710282
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | CA | 123120 |
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor | CA | 123120 |
| N | 374K00000X | |||
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor | CA | 123120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
