Jeanette M. Anderson
Individual provider Active NPI Mental Health Counselor · Tacoma, WA
NPI 1194902338 · NPPES record last updated Jan 30, 2008
Key facts
- NPI
- 1194902338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- RC00017006 (WA)
- Practice address
- 3580 Pacific Ave
Tacoma, WA 98418-7915 - Phone
- (253) 798-6130
- Fax
- (253) 798-4493
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00017006 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00017006 | WA | Yes |
Addresses
Primary practice location
3580 Pacific Ave
Tacoma, WA 98418-7915
Mailing address
3580 Pacific Ave
Tacoma, WA 98418-7915
Phone (253) 798-6130
Other providers in Tacoma, WA
- Emily Jane Anderson
- Gerald W Anderson
- Gregory C Anderson
- Iris Anderson
- James Thomas Anderson
- Jennette Marie Anderson
- Jennifer Richelle Anderson
- Jessica Ann Anderson
- Joellen Gardner Anderson
- Joshua Alan Anderson
All providers in Tacoma, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2008. 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.