Individual
MS. JUDITH LAWRENCE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR
Contact information
Practice address
375 PARK AVE STE B, COOS BAY, OR 97420-2244
(541) 217-0890
(541) 266-8408
Mailing address
PO BOX 1478, COOS BAY, OR 97420-0331
(541) 217-0890
(541) 266-8408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2373
OR
Other
Enumeration date
06/08/2009
Last updated
07/11/2015
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