MR. Shane Michael Anderson, LICDC-CS
NPI #1750513040 in Waverly, Ohio
Provider Information
- NPI Number
- 1750513040
- Entity Type
- Individual
- Name
- MR. Shane Michael Anderson, LICDC-CS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- LICDC-CS
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Jul 8, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Peer Specialist |
| Case Manager/Care Coordinator |
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