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Individual
MR. SCOTT KAY ANDERSEN
Active
Individual
MR. SCOTT KAY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC2823
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164723334
—
ID
01
—
710C6005
RBH
ID
01
—
D214391
VALUE OPTIONS
ID
01
—
Q7348
BLUE CROSS
ID
01
—
Q7699
BLUE CROSS
ID
Enumeration date
07/27/2006
Last updated
12/08/2011
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