Doctor Name: | KARI ANDERSON |
NPI Number: | 1205161585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. L.P.C. |
License Number: | LPC-1674 |
Business Practice Address: | 42104 N Venture Dr Suite C102 Anthem, AZ - 850863823 |
Business Phone Number: | 6235514332 |
Business Fax Number: | |
Mailing Address: | 41556 N Clear Crossing Rd, ANTHEM |
State: | AZ |
Postal Code: | 850861079 |
Phone Number: | 6235519637 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-1674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |