| Doctor Name: | DEBRA L ANDERSON |
| NPI Number: | 1033329222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0001 |
| Business Practice Address: | 1 Trillium Way Corbin, KY - 407018426 |
| Business Phone Number: | 6065238521 |
| Business Fax Number: | |
| Mailing Address: | 107 Eagles Nest Rd, CORBIN |
| State: | KY |
| Postal Code: | 407012679 |
| Phone Number: | 6065289929 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |