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Individual

MRS. TAMI ANNETTE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2629 REDWING RD, SUITE #316, FORT COLLINS, CO 80526-6315
(970) 988-0645
Mailing address
7015 SCULPIN CT, FORT COLLINS, CO 80526-9621
(970) 988-0645

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
#10440
CO
101YM0800X
Mental Health Counselor
#10440
CO
101YP1600X
Pastoral Counselor
#10440
CO
101YP2500X
Professional Counselor
#10440
CO
106H00000X
Marriage & Family Therapist
Primary
#10440
CO

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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