Individual
JOHN C ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
402 S SILVER SPRINGS ROAD, CAPE GIRARDEAU, MO 63703
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS ROAD, CAPE GIRARDEAU, MO 63703
(573) 334-1100
(573) 651-4345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10118SW
BLUE CROSS BLUE SHIELD
MO
01
—
469416
HEALTHLINK
MO
05
—
493976401
—
MO
Enumeration date
10/03/2006
Last updated
12/27/2011
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