Doctor Name: | KATHRYN ANNE ANDERSON |
NPI Number: | 1942448873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW1164 |
Business Practice Address: | 600 N Robbins Rd. Boise, ID - 83701 |
Business Phone Number: | 2084894558 |
Business Fax Number: | 2084894053 |
Mailing Address: | 600 N Robbins Road, BOISE |
State: | ID |
Postal Code: | 83701 |
Phone Number: | 2084894444 |
Fax Number: | 2084894055 |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCSW1164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |