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Individual
ROBERT EARL ANDERSON
Active
Individual
ROBERT EARL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945115
—
VA
01
—
143599
HEALTHKEEPERS
VA
05
—
143599
—
VA
01
—
365945
TRICARE
VA
01
—
737875000
MAGELLAN
VA
01
—
7471623
AETNA
VA
01
—
O84686M
SOUTHERN HEALTH
VA
05
—
O84686M
—
VA
Enumeration date
04/05/2006
Last updated
01/23/2023
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