SearchIdaho104100000X

Chad Anderson, LMSW, MAC

NPI 1336261452 · on the registry since 2007 · sole proprietor

Practice

Address
3520 N 15th St Apt C1
Coeur D Alene, ID 83815
Phone
(208) 686-1449
Fax
(208) 686-5813

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho