Individual
ABRAM W ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 LANDING CIR, CHICO, CA 95973-7895
(530) 774-6254
Mailing address
8 EMPEROR CT, CHICO, CA 95973-8213
(530) 774-3527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
83179
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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