Individual
MR. BRIAN R. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1425 N RABE AVE, STE 101, FRESNO, CA 93727-2117
(559) 255-1446
(559) 255-4876
Mailing address
1722 BUCKINGHAM AVE, CLOVIS, CA 93611-5179
(559) 348-9335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 21254
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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