Individual provider · NPI-1

Misti D Anderson, MS, CAP, CMHP

Counselor, Mental Health · Crestview, FL

NPI number1114063187
StatusActive
Last updated in NPPESMay 19, 2010

Details

NPI
1114063187
Entity type
Individual (NPI-1)
Name
Mrs. Misti D Anderson
Credential
MS, CAP, CMHP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2007
Last updated
May 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health50228FLYes
101YA0400X Counselor, Addiction (Substance Use Disorder)3431FL

Practice location

502 N. Ferdon Blvd.
B
Crestview, FL 32536

Phone 850-758-0706

Mailing address

207 Westview Dr
Crestview, FL 32536-9254

Phone 850-689-6657

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