NPI Profile for MINDI A ANDERSON in LODI, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Professional |
101YP2500X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI Number | 1841710282 |
|
| Status | Active | |
| Credentials | CAADE CATC III | |
| Entity | Individual | |
| Enumeration date | 06/27/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MINDI A ANDERSON
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