Individual
ANDREW WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 N LAKE AVE STE 150, PASADENA, CA 91104-2388
(626) 794-1161
(626) 794-6071
Mailing address
1450 N LAKE AVE STE 150, PASADENA, CA 91104-2388
(626) 794-1161
(626) 794-6071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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