# MR. CASEY LYNN ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174862478
- **Gender:** Man
- **Credential:** LCPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC5921 | MD | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 10/02/2024