Individual
CHARLES C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 GRAHAM ST., GARDNER, MA 01440
(978) 632-4572
(978) 632-4572
Mailing address
171 GRAHAM ST., GARDNER, MA 01440
(978) 632-4572
(978) 632-4572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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