Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cornell Willard Anderson, MA

Individual provider Mental Health Counselor · NPI 1063786234

Mr. Cornell Willard Anderson, MA is a Mental Health Counselor in Puyallup, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

325 E Pioneer Ave
Puyallup, WA 98372
Phone: (253) 697-8400
Fax: (253) 697-3730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9330 59th Ave Sw, Lakewood, WA 98499-2858 — (253) 606-5289

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH61019298 (WA)

Record details

NPI number1063786234
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedMarch 5, 2012
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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