MEDICARE: LAUREN N. ANDERSON MFTC

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	106H00000X	Marriage & Family Therapist	MFTA.MG.61593599	WA
2	106H00000X	Marriage & Family Therapist	MFTC.0014252	CO

General Provider Information

NPI Number	:	1326755711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN N. ANDERSON MFTC

Provider Business Mailing Address
First Line	:	211 TAYLOR ST STE 32
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-5757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 TAYLOR ST STE 32
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-5757
Country	:	US
Telephone Number	:	720-445-5916
Fax Number	:

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

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	03/24/2026

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