Individual
JOHN KIRK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(505) 393-3168
(505) 397-4659
Mailing address
1601 N TURNER, SUITE 101A, HOBBS, NM 88240-4309
(575) 390-2529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1192
NM
101YP2500X
Professional Counselor
13788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46300
—
NM
Enumeration date
11/07/2006
Last updated
09/08/2008
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