Individual provider · Type 1 NPI
Octavia Anderson
Mental Health Counselor · Los Angeles, CA
NPI number
1124168828
Active
Practice location
2500 Wilshire Blvd, Suite 500
Los Angeles, CA 90057-4303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124168828
Octavia Anderson's National Provider Identifier is 1124168828, issued on Feb 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.