Larry L Anderson LCDC/LPC

NPI 1104150879 - Counselor - 101YA0400X

NPI Details
NPI 1104150879
Gender Male
Enumeration Date 09/28/2009
Last Updated 09/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1418 SHAFTER AVE
ODESSA TX, 79761-3131, US
Phone (432) 550-5712
Fax
Business Location
1418 SHAFTER AVE
ODESSA TX, 79761-3131, US
Phone (432) 550-5712
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Texas
License Number 10474
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According to our database, Mr. Larry L Anderson LCDC/LPC NPI is 1104150879, taxonomy code is 101YA0400X and license number is 10474, license state is located at Texas. Larry L Anderson LCDC/LPC physically located at 1418 Shafter Ave, Odessa TX, 79761-3131. NPI Number Larry L Anderson LCDC/LPC has the Individual type.

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1104150879 NPI number is provided on an as is basis without warranty of any kind. 1104150879 is maintained by the National Plan & Provider Enumeration System. The contents of Larry L Anderson LCDC/LPC are for informational purposes only.