| Doctor Name: | BILLY M ANDERSON |
| NPI Number: | 1033286414 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW LADC |
| License Number: | 300215 |
| Business Practice Address: | 22 Wilson Ave Ne 209 Saint Cloud, MN - 563040440 |
| Business Phone Number: | 3202597706 |
| Business Fax Number: | 3202514590 |
| Mailing Address: | 22 Wilson Ave Ne, 209 SAINT CLOUD |
| State: | MN |
| Postal Code: | 563040440 |
| Phone Number: | 3202597706 |
| Fax Number: | 3202514590 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 08/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 300215 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |