Individual
ANN GILE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT SAC
Contact information
Practice address
702 N BLACKHAWK AVE, MADISON, WI 53705-3357
(608) 238-9991
Mailing address
6661 FLORANCE RUTH LN, SUN PRAIRIE, WI 53590-9233
(608) 214-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15368-130
WI
101YM0800X
Mental Health Counselor
Primary
1422124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1422124
LMFT
WI
01
—
15368-130
SUBSTANCE ABUSE COUNSELOR
WI
Enumeration date
01/04/2011
Last updated
11/04/2025
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