Doctor Name: | MR. DELL A ANDERSON |
NPI Number: | 1033391669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LMHC, CMHS |
License Number: | |
Business Practice Address: | 552 N Colorado St #106 Kennewick, WA - 993367779 |
Business Phone Number: | 5095450860 |
Business Fax Number: | 5095450861 |
Mailing Address: | 4416 Parley Dr, PASCO |
State: | WA |
Postal Code: | 993017124 |
Phone Number: | 5095450860 |
Fax Number: | 5095450861 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |