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

Mr. Theodore Edward Anderson IV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184842833

Mr. Theodore Edward Anderson IV is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1839 S El Dorado St
Stockton, CA 95206-2025
Phone: (209) 463-0872
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1184842833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007

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