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Individual
MR. LUKE DONALD ANDERSEN
Active
Individual
MR. LUKE DONALD ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2139
NE
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/03/2022
Last updated
02/01/2024
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