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Individual

CHARLES S. ANDERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMHC.

Contact information

Practice address
76 SUMMER ST, SUITE 025, FITCHBURG, MA 01420-5783
(978) 345-6729
(978) 342-7503
Mailing address
76 SUMMER ST, SUITE 025, FITCHBURG, MA 01420-5783
(978) 345-0685
(978) 342-8495

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5064
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5064
ALLIED MENTAL HEALTH
MA
Enumeration date
04/09/2007
Last updated
04/02/2010
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