Individual provider · Type 1 NPI

Cornell Willard Anderson, M.A.

Mental Health Counselor · Puyallup, WA

NPI number 1063786234 Active

Practice location

325 E Pioneer Ave
Puyallup, WA 98372

Fax (253) 697-3730

Other practice locations

  • 9330 59th Ave SW, Lakewood, WA 98499-2858 · (253) 606-5289

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH61019298 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1063786234

Cornell Willard Anderson, M.A.'s National Provider Identifier is 1063786234, issued on Mar 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Jun 23, 2020.