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Individual

MR. JERALD STUART ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT

Contact information

Practice address
900 QUEST PKWY, CEDAR PARK, TX 78613-2270
(512) 260-6100
(512) 260-6129
Mailing address
900 QUEST PKWY, CEDAR PARK, TX 78613-2270
(512) 260-6100
(512) 260-6129

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10199
TX

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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