NPI

Carol J Anderson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LPC
Type
Individual
Enumeration date
2007-03-27
Last updated
2007-07-08

Specialties

Licenses

License OR
C1546

Location

Practice location
336 Ne Norton Ave, Suite #5
City
Bend OR
Postal code
97701-4350
Phone
(541) 390-9719

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

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