Doctor Name: | MR. JAMES T ANDERSON |
NPI Number: | 1083667240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | C001328 |
Business Practice Address: | 45 N Country Club Rd Brevard, NC - 287128908 |
Business Phone Number: | 8288839676 |
Business Fax Number: | 8288849753 |
Mailing Address: | Po Box 2272, HENDERSONVILLE |
State: | NC |
Postal Code: | 287932272 |
Phone Number: | 8286927300 |
Fax Number: | 8286927710 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C001328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |