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Contact Information

KAITLYN M ANDERSON, LAC
211 4TH ST
BROOKINGS, SD57006-1917
 Phone: 605-697-2850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KAITLYN M ANDERSON · (Female)

NPI # 1831981141
Status Active
Credentials LAC
Entity Individual
Enumeration date 05/21/2025
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SD License # 24031989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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