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Organization
ANDERSON THERAPY GROUP PLLC
Active
Organization
ANDERSON THERAPY GROUP PLLC
Active
Other names
Anderson Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA N ANDERSON PHD (OWNER)
(360) 500-1704
Entity
Organization
Contact information
Practice address
104 W 4TH ST STE 103, ABERDEEN, WA 98520-3932
(360) 612-0456
Mailing address
PO BOX 558, COSMOPOLIS, WA 98537-0558
(360) 612-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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