Individual provider · Type 1 NPI
Shaun Michael Anderson
Mental Health Counselor · Gainesville, FL
NPI number
1063019057
Active
Practice location
235 S Main St Ste 203
Gainesville, FL 32601-6585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH19279 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1063019057
Shaun Michael Anderson's National Provider Identifier is 1063019057, issued on Oct 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, FL. The record was last updated on Oct 3, 2020.