Individual
JARED CHASE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1011 S WILLIAM ST, ATLANTA, TX 75551-3245
(903) 796-2868
(903) 796-0826
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59685
LICENSE
TX
Enumeration date
10/20/2017
Last updated
07/07/2022
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