Provider Demographics
NPI:1124149901
Name:ANDERSON, ROSANDA JENAY (RAS)
Entity type:Individual
Prefix:MS
First Name:ROSANDA
Middle Name:JENAY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RAS
Other - Prefix:
Other - First Name:ROSANDA
Other - Middle Name:JENAY
Other - Last Name:BRIDGEFORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1926 STILLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-4945
Mailing Address - Country:US
Mailing Address - Phone:661-396-9797
Mailing Address - Fax:661-396-9998
Practice Address - Street 1:610 4TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2218
Practice Address - Country:US
Practice Address - Phone:661-631-8415
Practice Address - Fax:661-326-1602
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)