Individual
MR. CHRISTIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
380 COURT ST, ELKO, NV 89801-3158
(915) 779-5600
Mailing address
349 LAKEPORT DR, SPRING CREEK, NV 89815-6048
(775) 299-9906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
20065
TX
101YP2500X
Professional Counselor
Primary
CP0001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100516741
—
NV
05
—
1784936-01
—
TX
01
—
743025435
TRICARE
TX
01
—
84839L
BCBS OF TEXAS
TX
01
—
NM600035
VALUE OPTIONS
NM
Enumeration date
10/04/2006
Last updated
10/01/2019
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