Mark R. Anderson
Counselor, Professional in Spartanburg, SC. Individual provider (NPI-1).
NPI number1013187632
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1013187632
- Entity type
- Individual (NPI-1)
- Name
- Mark R. Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2008
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5246 | SC | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
324 E Saint John StSpartanburg, SC 29302-1505
Phone 864-707-1953
Mailing address
45 Woodwind DrSpartanburg, SC 29302-4517
Phone 864-707-1953
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