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NPI Code Detail

MEDICARE: CHRISTOPHER WILLARD ANDERSON LMFT

MEDICARE: CHRISTOPHER WILLARD ANDERSON LMFT
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
1106H00000XMarriage & Family TherapistMT3553FL

General Provider Information

NPI Number : 1679043632
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER WILLARD ANDERSON LMFT
Provider Business Mailing Address
First Line : 2101 PARK CENTER DR STE 270
Second Line :
City : ORLANDO
State : FL
Zip : 32835-7608
Country : US
Telephone Number : 407-523-1213
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PARK CENTER DR STE 270
Second Line :
City : ORLANDO
State : FL
Zip : 32835-7608
Country : US
Telephone Number : 407-523-1213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2018
Last Update Date : 12/03/2018

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Directions to “ CHRISTOPHER WILLARD ANDERSON LMFT” Practice Location

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