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Individual
DR. WILLIE ANDERSON JR.
Active
Individual
DR. WILLIE ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AACT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
WA861035
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WA861035
LA
101YM0800X
Mental Health Counselor
WA861035
LA
101YP1600X
Pastoral Counselor
WA861035
LA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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