| Doctor Name: | CHRISTOPHER JOHN ANDERSON |
| NPI Number: | 1487912028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA LPCC, MFT INTERN |
| License Number: | 65688 |
| Business Practice Address: | 11600 Eldridge Ave Lake View Terrace, CA - 913426506 |
| Business Phone Number: | 8186863105 |
| Business Fax Number: | |
| Mailing Address: | 933 1/2 N Ardmore Ave, LOS ANGELES |
| State: | CA |
| Postal Code: | 900293303 |
| Phone Number: | 3232089330 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 65688 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |