Individual
LINDA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
6228 E OLD SCHOOL RD, WELLPINIT, WA 99040
(509) 258-7502
(509) 258-4480
Mailing address
PO BOX 540, WELLPINIT, WA 99040-0540
(509) 258-7502
(509) 258-4480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467644294
—
WA
Enumeration date
11/30/2011
Last updated
11/30/2011
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