| NPI | 1790551414 |
|---|---|
| Former Name | WILLIAM JOHN ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL6897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL6897) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-10-08 |