Individual
MS. KASANDRA JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1305 ALBION AVE, BURLEY, ID 83318
(208) 878-9178
(208) 878-9179
Mailing address
1305 ALBION AVE, BURLEY, ID 83318
(208) 878-9178
(208) 878-9179
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
01/18/2024
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