Anderson, Leellen Lou

Anderson, Leellen Lou is an sole proprietor health care provider with primary practice located at 2002 N Stockton Hill Rd , Kingman AZ 86401-4698. 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, Leellen Lou can be contacted via phone (928) 718-4800.

Contact Information

Primary practice address
2002 N Stockton Hill Rd Kingman AZ 86401-4698
Phone: (928) 718-4800
Fax: (928) 718-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LASAC 13268 Arizona

Profile Details

NPI number 1174860290
LBN Legal business name Anderson, Leellen Lou
Credentials LASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 12 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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