Anderson, Teresa M

Anderson, Teresa M is an individual health care provider with primary practice located at 1728 Central Ave Ste 14 , Fort Dodge IA 50501-4200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anderson, Teresa M can be contacted via phone (515) 955-1836.

Contact Information

Primary practice address
1728 Central Ave Ste 14 Fort Dodge IA 50501-4200
Phone: (515) 955-1836
Fax: (515) 955-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07061 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001287 Iowa

Profile Details

NPI number 1891925293
LBN Legal business name Anderson, Teresa M
Credentials LMHC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Oct 9th, 2023 - about 3 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 1891925293 NPPES
Iowa MEDICAID 0159608
Iowa Other 07466

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