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

Peter Anderson Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417335118

Peter Anderson Jr. is an Addiction (Substance Use Disorder) Counselor in Vicksburg, Mississippi. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
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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 number1417335118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESMay 13, 2015
Mailing address3444 Wisconsin Ave, Vicksburg, MS 39180-5331

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