Davean E Anderson
Community/Behavioral Health in Youngstown, OH. Individual provider (NPI-1).
NPI number1407529480
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1407529480
- Entity type
- Individual (NPI-1)
- Name
- Davean E Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2021
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
238 S Meridian RdYoungstown, OH 44509-2925
Phone 330-318-3436
Mailing address
238 S Meridian RdYoungstown, OH 44509-2925
Phone 330-318-3436
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