MEDICARE: KAREN 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	00419	NV
2	106H00000X	Marriage & Family Therapist	01148	NV

General Provider Information

NPI Number	:	1427597186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ANDERSON

Provider Business Mailing Address
First Line	:	1887 WHITNEY MESA DR STE 7391
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2069
Country	:	US
Telephone Number	:	702-485-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	8215 S EASTERN AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2523
Country	:	US
Telephone Number	:	702-485-8470
Fax Number	:

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

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	12/30/2023

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Directions to “ KAREN ANDERSON ” Practice Location

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