Individual
DANA K ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2949 W STATE ROAD 434, SUITE 200, LONGWOOD, FL 32779-4458
(407) 221-0366
(310) 347-4260
Mailing address
1845 PINE BAY DR, LAKE MARY, FL 32746-7102
(407) 444-0473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131360015
—
FL
Enumeration date
09/19/2007
Last updated
11/11/2012
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