NPI 1265617633 · live from the CMS NPI Registry
John Edwards Anderson
Counselor, Professional in Olympia, WA. National Provider Identifier 1265617633, active.
NPI record
| NPI | 1265617633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1800 Cooper Point Rd Sw, Building #17, Olympia, WA 98502 |
| Practice phone | 360-451-1843 |
| Enumerated | January 4, 2008 |
| Last updated | January 4, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Pastoral | 101YP1600X | — |
| Counselor, Professional primary | 101YP2500X | LH00011182 (WA) |
| Marriage & Family Therapist | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.