Individual provider · Type 1 NPI
Pearl A. Anderson, ACIT
Addiction (Substance Use Disorder) Counselor · South Bend, IN
NPI number
1174738439
Active
Practice location
4005 W Western Ave
South Bend, IN 46619-2617
Fax (574) 233-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1174738439
Pearl A. Anderson, ACIT's National Provider Identifier is 1174738439, issued on May 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.