Eric Ricahrd Anderson, CAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boynton Beach, FL
NPI 1194310342 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1194310342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAC100302 (FL)
- Practice address
- 2320 S Seacrest Blvd
Boynton Beach, FL 33435-6517 - Phone
- (774) 300-0606
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC100302 | FL | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC100302 | FL | Yes |
Addresses
Primary practice location
2320 S Seacrest Blvd
Boynton Beach, FL 33435-6517
Mailing address
2320 S Seacrest Blvd
Boynton Beach, FL 33435-6517
Phone (774) 300-0606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAC100302 | Other | FL | ADDICTION COUNSELOR |
Other providers in Boynton Beach, FL
- Amicus Medical Center LLC
- Christina Lynn Amoroso
- Victoria Eugenia Andarcia
- Altonio Letroy Anders
- David Odell Anderson
- Katherine Andrade
- Osledis Dayana Andrade
- Alexandra Andreoni
- Andres a Albornoz MD PA
- Andres Ruiz MD PA
All providers in Boynton Beach, FL · Addiction (Substance Use Disorder) Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. 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.