Individual provider · Type 1 NPI

Justin Garrett Anderson I

Addiction (Substance Use Disorder) Counselor · Orange, CA

NPI number 1194435719 Active

Practice location

705 W La Veta Ave Ste 208
Orange, CA 92868-4448

Fax (714) 532-9291

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1194435719

Justin Garrett Anderson I's National Provider Identifier is 1194435719, issued on Dec 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orange, CA. The record was last updated on Apr 18, 2024.