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NPI Code Detail

MEDICARE: ALBERT ANDERSON LPCC #13438

MEDICARE: ALBERT ANDERSON LPCC #13438
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor13438CA

General Provider Information

NPI Number : 1457738056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT ANDERSON LPCC #13438
Provider Business Mailing Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number :
Provider Business Practice Location Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 05/19/2023

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Directions to “ ALBERT ANDERSON LPCC #13438” Practice Location

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