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Individual

JOSEPH JOHN ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. LMFT

Contact information

Practice address
667 E GROUSE CT, MERIDIAN, ID 83646-4414
(208) 283-9888
Mailing address
667 E GROUSE CT, MERIDIAN, ID 83646-4414
(208) 283-9888

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4117
ID

Other

Enumeration date
03/16/2010
Last updated
03/16/2010
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