Individual
ERIC RICAHRD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
2320 S SEACREST BLVD, BOYNTON BEACH, FL 33435-6517
(774) 300-0606
Mailing address
2320 S SEACREST BLVD, BOYNTON BEACH, FL 33435-6517
(774) 300-0606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC100302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC100302
ADDICTION COUNSELOR
FL
Enumeration date
03/09/2021
Last updated
03/09/2021
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