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Individual
DR. JUSTIN WILLIAM ANDERSEN
Active
Individual
DR. JUSTIN WILLIAM ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
94024044
CA
225C00000X
Rehabilitation Counselor
94024044
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2014
Last updated
06/12/2023
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