Individual
MS. GLORIA E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCAP, CMHC
Contact information
Practice address
100 N JOHNSON MILL RD, MIDWAY, UT 84049-6764
(813) 944-0376
Mailing address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 846-0753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27771
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
5376
FL
101YM0800X
Mental Health Counselor
Primary
11013043-6004
UT
101YM0800X
Mental Health Counselor
MH10492
FL
Other
Enumeration date
09/19/2007
Last updated
02/11/2019
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