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NPI Code Detail

MEDICARE: BRIYANA NICOLE ANDERSON CDPT

MEDICARE:   BRIYANA NICOLE ANDERSON  CDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCO60127455WA

General Provider Information

NPI Number : 1952621716
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIYANA NICOLE ANDERSON CDPT
Provider Business Mailing Address
First Line : 515 LAKEWAY DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5233
Country : US
Telephone Number : 360-676-2187
Fax Number : 360-676-2162
Provider Business Practice Location Address
First Line : 515 LAKEWAY DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5233
Country : US
Telephone Number : 360-676-2187
Fax Number : 360-676-2162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 06/03/2010

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Directions to “ BRIYANA NICOLE ANDERSON CDPT” Practice Location

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