Individual
MR. CORNELL WILLARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
325 E PIONEER AVE, PUYALLUP, WA 98372
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER AVE, PUYALLUP, WA 98372
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61019298
WA
Other
Enumeration date
03/05/2012
Last updated
06/23/2020
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