Individual
MS. DEIDREA MARCELLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
7010 SIMMS ST # 15-202, ARVADA, CO 80004-1394
(805) 444-0046
Mailing address
7010 SIMMS ST # 15-202, ARVADA, CO 80004-1394
(805) 444-0046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6747
CO
1041C0700X
Clinical Social Worker
Primary
1989
CO
Other
Enumeration date
02/28/2007
Last updated
03/22/2021
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