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Individual
MINDI ANN ANDERSON
Active
Individual
MINDI ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADE CATC III
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
123120
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
123120
CA
101YP2500X
Professional Counselor
123120
CA
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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