Doctor Name: | TANA ANDERSON |
NPI Number: | 1003020090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC |
License Number: | LH00004575 |
Business Practice Address: | 15600 Redmond Way Suite 101 Redmond, WA - 980523862 |
Business Phone Number: | 4258027146 |
Business Fax Number: | 4258362517 |
Mailing Address: | 15600 Redmond Way, Suite 101 REDMOND |
State: | WA |
Postal Code: | 980523862 |
Phone Number: | 4258027146 |
Fax Number: | 4258362517 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00004575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |