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ANDERSON THERAPY GROUP PLLC

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Company Details

Legal Name: ANDERSON THERAPY GROUP PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 3rd 2020
Expiration date: 31 Jan 2026
UBI Number: 604 562 638
ZIP code: 98520
City: Aberdeen
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 104 W 4TH ST STE 103, ABERDEEN, WA, 98520-3932, UNITED STATES

Contact Details

E-Mail: AANDERSON@ANDERSONTHERAPYGROUP.COM
Phone Number: +1 360-612-0456

Nature of Business

Professional, Scientific & Technical Services, PROFESSIONAL, SCIENTIFIC & TECHNICAL SERVICES

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Registered Agent Information

Name Role Address
AMANDA ANDERSON Registered Agent 1818 MONTEREY LN, ABERDEEN, WA, 98520-1311, UNITED STATES

Key Officers & Management

Name Role Address
AMANDA ANDERSON Governing Person -
AMANDA ANDERSON EXECUTOR PO BOX 558, COSMOPOLIS, WA, 98537-0558, UNITED STATES

National Provider Identifier

NPI Number:
1548892672
Certification Date:
2020-02-06

Authorized Person:

Name:
DR. AMANDA N ANDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

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