Individual
AUDRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
255 N MIAMI ST, WABASH, IN 46992-2705
(260) 563-8446
(260) 563-1902
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
15742677169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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