Individual
DEBRA L ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RYT-200
Contact information
Practice address
17390 S INDIGO CREST PASS, VAIL, AZ 85641-2769
(760) 553-3558
Mailing address
17390 S INDIGO CREST PASS, VAIL, AZ 85641-2769
(760) 553-3558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CP6331-R
NV
101YM0800X
Mental Health Counselor
Primary
LPC-24364
AZ
101YM0800X
Mental Health Counselor
LPC-3481609
ID
101YM0800X
Mental Health Counselor
LPC-LA-897
LA
101YM0800X
Mental Health Counselor
LPC-MN-898
MN
101YM0800X
Mental Health Counselor
LPC-OH-899
OH
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
05/26/2026
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