Individual provider · Type 1 NPI

Theodore Edward Anderson Iv

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1184842833 Active

Practice location

1839 S El Dorado St
Stockton, CA 95206-2025

Call (209) 463-0872 Map

Mailing address

1191 Bridgeton Ave
Manteca, CA 95336-2938

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1184842833

Theodore Edward Anderson Iv's National Provider Identifier is 1184842833, issued on Apr 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.