Anderson, Andrea L

Anderson, Andrea L is an sole proprietor health care provider with primary practice located at 800 S Victoria Ave , Ventura CA 93009-1651. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Andrea L can be contacted via phone (805) 339-1122.

Contact Information

Primary practice address
800 S Victoria Ave Ventura CA 93009-1651
Phone: (805) 339-1122
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1740578327
LBN Legal business name Anderson, Andrea L
Credentials MSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2011
Last updated Feb 5th, 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 1740578327 NPPES
California MEDICAID 1073974184

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