Individual
MRS. AMY ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16079-132
WI
101YP2500X
Professional Counselor
Primary
1678-125
WI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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