MEDICARE: JULI JEANNINE ANDERSON

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
1	101YM0800X	Mental Health Counselor	MHC.LH.61063811	WA

General Provider Information

NPI Number	:	1154968766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULI JEANNINE ANDERSON

Provider Business Mailing Address
First Line	:	727 S GRAND AVE
Second Line	:
City	:	PULLMAN
State	:	WA
Zip	:	99163-2136
Country	:	US
Telephone Number	:	208-882-2566
Fax Number	:	888-972-5312

Provider Business Practice Location Address
First Line	:	727 S GRAND AVE
Second Line	:
City	:	PULLMAN
State	:	WA
Zip	:	99163-2136
Country	:	US
Telephone Number	:	208-882-2566
Fax Number	:	888-972-5312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	04/20/2026

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Directions to “ JULI JEANNINE ANDERSON ” Practice Location

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