Individual
CIERRA JEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W ATKINS AVE, RIDGECREST, CA 93555-2501
(760) 709-0262
Mailing address
PO BOX 624, RIDGECREST, CA 93556-0624
(760) 382-8961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13915
CA
Other
Enumeration date
09/01/2020
Last updated
05/06/2024
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