JEROME KEITH ANDERSON NPI 1780981514

NPI Information

NPI: 1780981514
Provider Name: JEROME KEITH ANDERSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1151 TAYLOR ST STE 570A
DETROIT, MI
ZIP 48202
Phone: (313) 874-8715
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Jerome Keith Anderson is a mental health counselor in Detroit, MI. Jerome Keith Anderson NPI is 1780981514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1151 TAYLOR ST STE 570A
DETROIT, MI
ZIP 48202-732
Phone: (313) 874-8715
Fax: (313) 874-8717

The enumeration date for this NPI number is 2/14/2011 and was last updated on 2/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6801092493	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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