person
Johanna R. Anderson, QMHP
Mental Health Counselor in Cottage Grove, Oregon
NPI 1326107707

Johanna R. Anderson is a Mental Health Counselor based in Cottage Grove, OR and is specialized in Mental Health. Johanna R. Anderson practices in Cottage Grove, OR and has the professional credentials of QMHP. The NPI Number for Johanna R. Anderson is 1326107707 and holds a License No. (Oregon).

The current practice location address for Johanna R. Anderson is 410 N 9Th St, Cottage Grove, OR and can be reached out via phone at 541-942-2217 and via fax at 541-942-1574.

Location: 410 N 9Th St, Cottage Grove, OR, 97424-1307
person
Provider Profile Details
NPI Number
1326107707
Provider Name
Johanna R. Anderson
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
410 N 9Th St, Cottage Grove, OR, 97424-1307
Phone Number
541-942-2217
Fax Number
541-942-1574
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019047 05 OR
institution
Provider Business Practice Location Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2217
Fax Number
541-942-1574
person
Provider Business Mailing Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2217
Fax Number
541-942-1574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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