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1902314016
DAVID JONATHAN ANDERSON
DUFFIELD, VA
NPI
1902314016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
Mr. DAVID JONATHAN ANDERSON M.Ed.
198 ROSS CARTER BLVD
DUFFIELD, VA 24244-5117
Phone number: 276-431-2904
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Mailing Address
Mr. DAVID JONATHAN ANDERSON M.Ed.
1200 SOUTHWEST AVE
JOHNSON CITY, TN 37604-6520
Phone number:
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