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Individual

MS. CHRISTY K ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1461
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027593
BLUE CROSS BLUE SHIELD
ND
05
75000
ND
Enumeration date
03/28/2007
Last updated
07/08/2007
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