Individual
ERIC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
(831) 425-8132
(831) 466-9165
Mailing address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
(831) 425-8132
(831) 466-9165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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