Doctor Name: | MS. GERALDINE MCKEON ANDERSEN |
NPI Number: | 1487858197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LMSW ACSW |
License Number: | 6801011170 |
Business Practice Address: | 2901 E Grand River Advanced Behavioral Medicine Howell, MI - 48843 |
Business Phone Number: | 5175481537 |
Business Fax Number: | 5175489399 |
Mailing Address: | 304 Higgins St, HOWELL |
State: | MI |
Postal Code: | 48843 |
Phone Number: | 5175460730 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6801011170 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
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 |