NPI 1902500960 · live from the CMS NPI Registry
Sammie Jo Anderson, LAC
Counselor, Addiction (Substance Use Disorder) in Great Falls, MT. National Provider Identifier 1902500960, active.
NPI record
| NPI | 1902500960 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 11 5th St N Ste 202, Great Falls, MT 59401 |
| Practice phone | 406-836-2669 |
| Enumerated | March 27, 2023 |
| Last updated | December 13, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | BBH-LAC-LIC-64413 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.