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1164620662
JOHN LEE ANDERSON
HAMPTON, VA
NPI
1164620662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102044)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Mr. JOHN LEE ANDERSON C.S.A.C
2238 TODDS LN SUITE D
HAMPTON, VA 23666-3159
Phone number: 757-262-2094
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Mailing Address
Mr. JOHN LEE ANDERSON C.S.A.C
8 CATHY DR
NEWPORT NEWS, VA 23608-1403
Phone number: 757-344-0459
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