Search › Ohio › 171M00000X
Shane Anderson, LICDC-CS
NPI 1750513040 · on the registry since 2009
Practice
- Address
- 13800 Us Highway 23
Waverly, OH 45690 - Phone
- (740) 947-8777
- Organisation at this address
- Community Action Committee Of Pike County
Community Action Committee Of Pike County
Community Action Committee Of Pike County
Community Action Committee Of Pike CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 601 S Edwin C Moses Blvd, Dayton, OH
- 1643 Sr 104, Chillicothe, OH
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
101YA0400X
175T00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-08
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 Ohio