Mr. Kenneth D Anderson, CAC, CADC, RSS
Counselor, Addiction (Substance Use Disorder) in East Hartford, Connecticut
1366249559- Practice location
- 330 Roberts St, East Hartford, CT 06108-3652
- Phone
- 860-214-5857
- Fax
- —
- Last updated
- February 26, 2025
Kenneth Dow Anderson is a Counselor, Addiction (Substance Use Disorder) based in East Hartford, CT. Kenneth Dow Anderson practices in East Hartford, CT and has the professional credentials of CAC, CADC, RSS. The NPI Number for Kenneth Dow Anderson is 1366249559 and holds a License No. 000803 (CT). The current practice location address for Kenneth Dow Anderson is 330 Roberts St, East Hartford, CT 06108-3652 and can be reached out via phone at 860-214-5857.
Provider Profile Details
- NPI Number
- 1366249559
- Provider Name
- Kenneth Dow Anderson
- Credential
- CAC, CADC, RSS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 330 Roberts St, East Hartford, CT 06108-3652
- Phone Number
- 860-214-5857
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2025
- Last Update Date
- February 26, 2025
- Certification Date
- February 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 330 Roberts St
East Hartford, CT 06108-3652 - City
- East Hartford
- State
- Connecticut
- Zip
- 06108-3652
- Phone Number
- 860-214-5857
Provider Business Mailing Address Details
- Address
- 11 Palmer RD
Portland, CT 06480-1139 - City
- Portland
- State
- CT
- Zip
- 06480-1139
- Phone Number
- 860-214-5857
License Information
- License Number
- 000803
- License State
- CT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kenneth D Anderson, CAC, CADC, RSS?
The NPI number of Mr. Kenneth D Anderson, CAC, CADC, RSS is 1366249559. It was assigned on February 26, 2025 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth D Anderson, CAC, CADC, RSS?
Mr. Kenneth D Anderson, CAC, CADC, RSS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000803.
Where does Mr. Kenneth D Anderson, CAC, CADC, RSS practice?
The practice location is 330 Roberts St, East Hartford, CT 06108-3652. The office can be reached at 860-214-5857 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366249559 directly on the NPPES registry website.