Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1508981945


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JOHN L ANDERSON CTRS


Sex: Male

NPI: 1508981945
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1508981945
Enumeration Date2007-03-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
United States

Phone: 719-589-3671 | Fax:719-589-9136
 
Primary Practice Address 8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
United States

Phone: 719-589-3671 | Fax:719-589-9136
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCO04140091
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthCO4138