Individual
ASHLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
451 W END AVE, SUITE 2H, NEW YORK, NY 10024-5347
(347) 903-0871
(917) 591-7429
Mailing address
459 COLUMBUS AVE, SUITE 124, NEW YORK, NY 10024-5129
(347) 903-0871
(917) 591-7429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
080296
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
080296
NY
101YM0800X
Mental Health Counselor
080296
NY
101YP2500X
Professional Counselor
080296
NY
104100000X
Social Worker
080296
NY
1041C0700X
Clinical Social Worker
Primary
080296
NY
171M00000X
Case Manager/Care Coordinator
080296
NY
Other
Enumeration date
02/07/2013
Last updated
10/20/2014
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