Individual
MELINDA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1420 W DONALD ST, WATERLOO, IA 50703-1624
(319) 232-4673
Mailing address
2160 CARDINAL DR, WATERLOO, IA 50701-1006
(319) 290-4691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109672
IA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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