Individual
WILLIAM J P ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 50, BALSAM LAKE, WI 54810-9071
(715) 485-8862
(715) 485-8490
Mailing address
28141 ANDERSON DR, DANBURY, WI 54830-8205
(715) 866-8949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1255 132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39344200
—
WI
01
—
663731049156
PREFERRED ONE INSURANCE
WI
Enumeration date
04/10/2007
Last updated
07/09/2007
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