Doctor Name: | MS. NANCY B. ANDERSON |
NPI Number: | 1790983732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 3061 |
Business Practice Address: | 535 Society Dr Telluride, CO - 814358902 |
Business Phone Number: | 9707080078 |
Business Fax Number: | 9707285610 |
Mailing Address: | 535 Society Dr, TELLURIDE |
State: | CO |
Postal Code: | 814358902 |
Phone Number: | 9707080078 |
Fax Number: | 9707285610 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |