Charles C Anderson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gardner, MA
NPI 1104433804 · NPPES record last updated Sep 26, 2020
Key facts
- NPI
- 1104433804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 171 Graham St.
Gardner, MA 01440 - Phone
- (978) 632-4572
- Fax
- (978) 632-4572
- NPI assigned
- Sep 26, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
171 Graham St.
Gardner, MA 01440
Mailing address
171 Graham St.
Gardner, MA 01440
Phone (978) 632-4572
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | canderson@gaamha.org | Health Information Exchange (HIE) |
Other providers in Gardner, MA
- Ella May Alston
- Laura J Altavilla
- Noor Alzuhairy
- Donna Amistadi
- Anchored Counseling
- Thomas William Andrews
- Jessica Theresa Andrzejewski
- James Anello
- Angus J. Michaels, M.D., P.C.
- Felix Antwi
All providers in Gardner, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.