Individual
LYNETTE E. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, CSW, CBIS
Contact information
Practice address
202 E MAPLE ST, JEFFERSONVILLE, IN 47130-3420
(715) 820-0856
Mailing address
780 DOE HAVEN RD, EKRON, KY 40117-8836
(715) 820-0856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
297517
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301371
KY
101YM0800X
Mental Health Counselor
259474
KY
104100000X
Social Worker
259474
KY
Other
Enumeration date
05/13/2025
Last updated
03/12/2026
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