Individual
SUSAN MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC III
Contact information
Practice address
3400 W 16TH ST STE S, GREELEY, CO 80634-6872
(970) 378-8805
Mailing address
3400 W 16TH STREET BLDG 3 STE S, GREELEY, CO 80534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC6887
CO
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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