Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH S ANDERSON, CCDCT
ActiveAddiction (Substance Use Disorder) Counselor · WATERTOWN, SD
Registration Details
- NPI Number
- 1386827608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2007 (18.383127373493 yrs)
- Last Updated
- Dec 10, 2007
Practice Information
- Address
-
123 19TH ST NEWATERTOWN, SD, 57201Browse SD providers · Browse ZIP 57201
- Phone
- 6058860123
- Fax
- 6058865447
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| VICKY L ALBERS | BA CCDC II | 1053306084 |
| MRS. DIANTHA JEAN LARSON | CCDC T | 1669467577 |
| MS. JUDY D HOLT | CCDC T | 1164418687 |
| MRS. DEB A HAMER | CCDC III NCGC | 1235125758 |
| MRS. PAMELA GAYLE LEISURE | CCDC III | 1356337760 |
| MRS. JVONNE L ELLINGSON | CCDCT | 1780789370 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.