Anderson, Clinton Thomas

Anderson, Clinton Thomas is an sole proprietor health care provider with primary practice located at 1519 Florence Rd Ste 5 , Killeen TX 76541-7904. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Anderson, Clinton Thomas can be contacted via phone (254) 462-2775.

Contact Information

Primary practice address
1519 Florence Rd Ste 5 Killeen TX 76541-7904
Phone: (254) 462-2775
Fax: (254) 630-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201840 Texas

Profile Details

NPI number 1871621060
LBN Legal business name Anderson, Clinton Thomas
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated May 18th, 2018 - 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 1871621060 NPPES
Texas MEDICAID 291812001

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