Individual
KRISTIN NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E BIRCH AVE, FLAGSTAFF, AZ 86001-5215
(435) 669-8386
Mailing address
2518 TOLANI TRL, C/O KRISTIN ANDERSON, FLAGSTAFF, AZ 86005-3797
(435) 669-8386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-20885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285347518
—
AZ
Enumeration date
02/04/2025
Last updated
02/04/2025
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