Individual
MRS. CHARITY MICHAL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 RAWLEY ST, LONGVIEW, TX 75601-5639
(903) 707-1751
Mailing address
200 RAWLEY ST, LONGVIEW, TX 75601-5639
(903) 707-1751
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
82949
TX
101YM0800X
Mental Health Counselor
82949
TX
101YP2500X
Professional Counselor
Primary
82949
TX
Other
Enumeration date
01/16/2020
Last updated
11/06/2023
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