John Edwards Anderson
Individual provider Active NPI Professional Counselor · Olympia, WA
NPI 1265617633 · NPPES record last updated Jan 4, 2008
Key facts
- NPI
- 1265617633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LH00011182 (WA)
- Practice address
- 1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178 - Phone
- (360) 451-1843
- NPI assigned
- Jan 4, 2008
- 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 |
|---|---|---|---|
| LH00011182 | WA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | LH00011182 | WA | Yes |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178
Mailing address
1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178
Phone (360) 451-1843
Other providers in Olympia, WA
- Dale E Anderson
- Danica Anderson
- Emily Laverne Anderson
- Jenny Marie Anderson
- Jessica Anderson
- Julie Elizabeth Anderson
- Ladeidre Anderson
- Melissa Anderson
- Miranda Grace Anderson
- Rodney S Anderson
All providers in Olympia, WA · Professional 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 4, 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.