Organization
MARTHA L ANDERSON
Active
Parent organization
MARTHA L ANDERSON, LPC
Other names
ACFT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTHA L ANDERSON, LPC
Authorized official
MRS. MARTHA LEWIS ANDERSON LPC (OWNER DIRECTOR)
(540) 449-2593
Entity
Organization
Contact information
Practice address
3310 EAGLEBROOK RD, CHRISTIANSBURG, VA 24073-8106
(540) 449-2593
(540) 382-9010
Mailing address
3310 EAGLEBROOK DR., CHRISTIANSBURG, VA 24073-8106
(540) 449-2593
(540) 382-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005408005
—
VA
05
—
1184716482
—
VA
01
—
1B208449
ANTHEM
VA
Enumeration date
07/06/2011
Last updated
07/06/2011
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