Individual
MR. DAVID JONATHAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
198 ROSS CARTER BLVD, DUFFIELD, VA 24244-5117
(276) 431-2904
Mailing address
1200 SOUTHWEST AVE, JOHNSON CITY, TN 37604-6520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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