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Individual
JULIA ANDERSON
Active
Individual
JULIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811666845
—
OH
Enumeration date
09/13/2021
Last updated
06/26/2024
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