Individual
MS. PEARL A. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACIT
Contact information
Practice address
4005 W WESTERN AVE, SOUTH BEND, IN 46619-2617
(574) 233-1524
(574) 233-1612
Mailing address
4005 W WESTERN AVE, SOUTH BEND, IN 46619-2617
(574) 233-1524
(574) 233-1612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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