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Contact Information

TERESA M ANDERSON, LMHC, CADC
1728 CENTRAL AVE STE 14
FORT DODGE, IA50501-4200
 Phone: 515-955-1836
 Fax: 515-955-7115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

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

NPI # 1891925293
Status Active
Credentials LMHC, CADC
Entity Individual
Enumeration date 07/20/2009
Last updated 10/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001287
  • IA License # 07061
  • IA Medicaid 0159608
  • IA Other 07466 WELLMARK BC/BS
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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