Individual
LAURIE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Mailing address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161712
OH
101YP2500X
Professional Counselor
1300225
OH
101YP2500X
Professional Counselor
Primary
E.1901284
OH
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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