India Anderson, BS, LADC2
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Springfield, MA
NPI 1386198216 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1386198216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 2396 (MA)
- Practice address
- 2257 Main St
Springfield, MA 01107-1905 - Phone
- (413) 733-3488
- Fax
- (413) 731-7381
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2396 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Habit Opco | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2396 | MA | Yes |
Addresses
Primary practice location
2257 Main St
Springfield, MA 01107-1905
Mailing address
2257 Main St
Springfield, MA 01107-1905
Phone (413) 733-3488
Other providers in Springfield, MA
- Amber Anderson
- Andre Anderson Jr.
- Christine Anderson
- Cynthia D Anderson
- Desiree A Anderson
- James T Anderson
- Joan Anderson
- John Anderson
- Kelli Anderson
- Kristin Anderson
All providers in Springfield, 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 Aug 9, 2016. 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.