Andersen, David Allen

Andersen, David Allen is an sole proprietor health care provider with primary practice located at 120 W School Ave , Visalia CA 93291-4925. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Andersen, David Allen can be contacted via phone (559) 625-4100.

Contact Information

Primary practice address
120 W School Ave Visalia CA 93291-4925
Phone: (559) 625-4100
Fax: (559) 625-1970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A042370916 California

Profile Details

NPI number 1801255443
LBN Legal business name Andersen, David Allen
Credentials CADC-II ,ICADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2016
Last updated Sep 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801255443 NPPES
California Other A042370916 SUBSTANCE USE DISORDER COUNSELOR

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