Individual
MR. ARTISE L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA, QMHS
Contact information
Practice address
400 BOWMAN ST, MANSFIELD, OH 44903-1235
(419) 525-3525
(419) 525-3355
Mailing address
PO BOX 1316, MANSFIELD, OH 44901-1316
(419) 525-3525
(419) 525-3355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150195
OH
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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