ADISA ANDERSON

BERKELEY, CA
NPI1174938542
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- ADISA ANDERSON B.A.
2222 BANCROFT WAY #4300
BERKELEY, CA 94720-4300
Phone number: 510-642-2000
Mailing Address
-- ADISA ANDERSON B.A.
1890 NE MERMAN DR APT A103
PULLMAN, WA 99163-5084
Phone number: 562-331-0808
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