Individual
GLENN J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 E ABARR DR, PUEBLO WEST, CO 81007-5436
(719) 404-6618
Mailing address
764 S PALOMAR PL, PUEBLO WEST, CO 81007-2666
(719) 299-6777
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
03/09/2023
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