Individual
ANDREA L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 CHICKAHOMINY LOOP APT 302, CARROLLTON, VA 23314-4074
(757) 968-7700
Mailing address
740 CHICKAHOMINY LOOP APT 302, CARROLLTON, VA 23314-4074
(757) 968-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704012898
VA
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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