Anderson, Adisa

Anderson, Adisa is an sole proprietor health care provider with primary practice located at 2222 Bancroft Way #4300, Berkeley CA 94720-4300. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Anderson, Adisa can be contacted via phone (510) 934-6255.

Contact Information

Primary practice address
2222 Bancroft Way #4300 Berkeley CA 94720-4300
Phone: (510) 934-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 28984 California

Profile Details

NPI number 1174938542
LBN Legal business name Anderson, Adisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Mar 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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