CORNELL ANDERSON

SACRAMENTO, CA
NPI1851756407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-28
Last Update Date2016-06-30
Business Address
-- CORNELL ANDERSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 702-913-2775
Mailing Address
-- CORNELL ANDERSON
6836 CALVINE RD
SACRAMENTO, CA 95823-6119
Phone number: 702-913-2775
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