Anderson, Dustin B.
Anderson, Dustin B. is an individual health care provider with primary practice located at 920 Salazar Rd Ste C , Taos NM 87571-8225. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Dustin B. can be contacted via phone (575) 519-1869.Contact Information
Primary practice address
920 Salazar Rd Ste C
Taos NM 87571-8225
Phone: (575) 519-1869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | New Mexico |
Profile Details
| NPI number | 1235757451 |
|---|---|
| LBN Legal business name | Anderson, Dustin B. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2020 |
| Last updated | May 11th, 2023 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235757451 | NPPES |
| New Mexico | MEDICAID | 73725773 |
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