Individual
CRAIG CARLISLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Mailing address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
51513643502
UT
1041C0700X
Clinical Social Worker
Primary
51513643501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
—
Enumeration date
10/30/2006
Last updated
08/20/2024
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