| Donald Anderson | |
|
3959 Electric Rd Ste 156 Roanoke VA 24018-4571 | |
| (540) 772-3119 | |
| (540) 387-1047 |
| Full Name | Donald Anderson |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3959 Electric Rd Ste 156, Roanoke, Virginia |
| Authorized Official Name and Position | Donald Anderson (OWNER) |
| Authorized Official Contact | 5407970569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Anderson 3959 Electric Rd Ste 156 Roanoke VA 24018-4571 Ph: (540) 772-3119 | Donald Anderson 3959 Electric Rd Ste 156 Roanoke VA 24018-4571 Ph: (540) 772-3119 |
| NPI Number | 1598843591 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598843591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701000664 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0717000655 (Virginia) | Primary |
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