Individual
DANIEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, LPC INTERN
Contact information
Practice address
384 SW UPPER TERRACE DR, SUITE 102, BEND, OR 97702-1887
(541) 390-3133
Mailing address
384 SW UPPER TERRACE DR, SUITE 102, BEND, OR 97702-1887
(541) 390-3133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
11/13/2016
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