Individual
MARK D ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2430 CHERITON CT, CUMMING, GA 30041-7951
(908) 962-7532
Mailing address
2430 CHERITON CT, CUMMING, GA 30041-7951
(908) 962-5753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC013180
GA
Other
Enumeration date
08/10/2023
Last updated
01/28/2025
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