Individual
MRS. ANNETTA JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
304 W ERIE ST STE A, SPRINGFIELD, MO 65807-4915
(417) 881-7151
Mailing address
4891 W FARM ROAD 146, SPRINGFIELD, MO 65802-9370
(417) 881-7151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999140206
MO
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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