Organization
MICHAEL ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDERSON MA, MS, LPC, NCC (THERAPIST)
(678) 532-0398
Entity
Organization
Contact information
Practice address
4169 WASHINGTON ST SW, COVINGTON, GA 30014-2783
(678) 532-0398
Mailing address
4169 WASHINGTON ST SW, COVINGTON, GA 30014-2783
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LPC007246
GA
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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