Thomas Anderson | Valparaiso, IN • PECOS Search

Thomas Anderson

Counselor

Behavioral Health & Social Service Providers

2004 Valparaiso St, Valparaiso, IN 46383-3138

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1770821548
Provider Type
Individual
Full Name
Anderson, Thomas
Credential
MA

Gender
Male
Sole Proprietor
No
Enumeration Date
1/29/2013
Last Updated
1/29/2013

Contact Information

Practice Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

Unlisted Fax

Mailing Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer