Individual
MARTHA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8130 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016-2087
(901) 308-2915
Mailing address
8130 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016-2087
(901) 308-2915
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2680
TN
Other
Enumeration date
02/05/2007
Last updated
01/09/2013
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