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Individual
MR. THEODORE A ANDERSON III
Active
Individual
MR. THEODORE A ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RA01600315
CA
106H00000X
Marriage & Family Therapist
Primary
84546
CA
Other
Enumeration date
03/14/2011
Last updated
12/27/2021
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