Donald Anderson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Needles, CA
NPI 1205035862 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1205035862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 640 California Ave
Needles, CA 92363-2115 - Phone
- (760) 326-4590
- Fax
- (760) 326-3154
- NPI assigned
- Jul 13, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
640 California Ave
Needles, CA 92363-2115
Mailing address
640 California Ave
Needles, CA 92363
Phone (760) 326-4590
Other providers in Needles, CA
- Walla Alfaraj
- Ana Aranda
- Nathan William Asa
- Baker Emergency Medical Service, Inc
- Jack Patrick Ballum
- Brad Clayton Barth
All providers in Needles, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. 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.