Individual
CEDRIC ANTHONY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
2495 W MARCH LN, STOCKTON, CA 95207-8251
(209) 465-1080
(209) 465-2709
Mailing address
3118 S LAUREL ST, STOCKTON, CA 95206-3660
(209) 948-1185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF43408
CA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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