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MINDI ANN ANDERSON CAADE CATC III

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1841710282

Individual Registrant:
 MINDI ANN ANDERSON CAADE CATC III
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: --

Contact information for business:
856 N SACRAMENTO ST STE H  LODI, CA 95240-1251 US
Tel: (20-9) -376-5433  Fax: --

Registration Information:
NPI: 1841710282
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
CA123120
N101YP2500XBehavioral Health & Social Service Providers
Counselor
CA123120
N374K00000X
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
CA123120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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