Individual
MR. PERRY J ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 50, BALSAM LAKE, WI 54810-9071
(715) 485-8445
(715) 485-8490
Mailing address
440 105TH ST, AMERY, WI 54001-4010
(715) 268-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6798-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026794
PREFERRED ONE INSURANCE
WI
01
—
1258073
ARAZ INSURANCE
WI
01
—
2068111
CIGNA INSURANCE
WI
01
—
338871
TRI CARE INSURANCE
WI
01
—
373595
MHN HMC INSURANCE
WI
01
—
37F39PE
BCBS MN INSURANCE
WI
05
—
40930200
—
WI
01
—
84 81085
MEDICA INSURANCE
WI
01
—
P 12027501
WPPN INSURANCE
WI
Enumeration date
04/10/2007
Last updated
08/02/2010
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