Individual
CAROL J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
336 NE NORTON AVE, SUITE #5, BEND, OR 97701-4350
(541) 390-9719
(541) 317-8488
Mailing address
336 NE NORTON AVE, SUITE #5, BEND, OR 97701-4350
(541) 390-9719
(541) 317-8488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1546
OR
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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