Individual
LAKEN SIERRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 445-2677
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039280
—
OH
Enumeration date
01/02/2024
Last updated
08/27/2024
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