Individual
KERI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10500 NE 113TH AVE, VANCOUVER, WA 98662-3332
(360) 869-0591
Mailing address
10500 NE 113TH AVE, VANCOUVER, WA 98662-3332
(360) 869-0591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
09/18/2017
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