Individual provider · Type 1 NPI

Mark Owen Anderson

Addiction (Substance Use Disorder) Counselor · Aberdeen, WA

NPI number 1104329663 Active

Practice location

1813 Sumner Ave
Aberdeen, WA 98520-4600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00003031 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104329663

Mark Owen Anderson's National Provider Identifier is 1104329663, issued on Mar 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aberdeen, WA. The record was last updated on Mar 12, 2018.