Individual
CHANDRA LIZETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MT-BC
Contact information
Practice address
1923 LANARK AVE, DALLAS, TX 75203-4522
(214) 942-3924
Mailing address
1923 LANARK AVE, DALLAS, TX 75203-4522
(214) 942-3924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17878
TX
225A00000X
Music Therapist
04022
TX
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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