MR. Mark William Anderson, LPC LICDC

NPI #1952387037 in Toledo, Ohio

Provider Information

NPI Number: 1952387037
Entity Type: Individual
Name: MR. Mark William Anderson, LPC LICDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LPC LICDC
Enumeration Date: Dec 20, 2005
Last Updated: Aug 5, 2024

Practice Location

Address: 5934 VISTAMAR RD
City: Toledo
State: Ohio
ZIP Code: 43611-1044
Phone: (419) 729-0630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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