Individual
DR. CAROLYN G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, DMIN, DNM, DHM
Contact information
Practice address
W156N8327 PILGRIM RD STE 101, MENOMONEE FALLS, WI 53051-3776
(262) 955-7878
Mailing address
W156N8327 PILGRIM RD STE 101, MENOMONEE FALLS, WI 53051-3776
(262) 955-7878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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