Individual
MR. CLINTON THOMAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1519 FLORENCE RD STE 5, KILLEEN, TX 76541-7904
(254) 462-2775
(254) 630-1115
Mailing address
1519 FLORENCE RD STE 5, KILLEEN, TX 76541-7904
(254) 462-2775
(254) 630-1115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291812001
—
TX
Enumeration date
03/01/2007
Last updated
05/18/2018
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