Individual
MR. KENNETH DOW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC, CADC, RSS
Contact information
Practice address
330 ROBERTS ST, EAST HARTFORD, CT 06108-3652
(860) 214-5857
Mailing address
11 PALMER RD, PORTLAND, CT 06480-1139
(860) 214-5857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000803
CT
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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