Individual
VIRGINIA RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C., N.C.C
Contact information
Practice address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Mailing address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
103324
KY
101Y00000X
Counselor
1156
KY
101YM0800X
Mental Health Counselor
103324
KY
101YM0800X
Mental Health Counselor
1156
KY
101YP2500X
Professional Counselor
Primary
103324
KY
101YP2500X
Professional Counselor
1156
KY
Other
Enumeration date
06/26/2013
Last updated
05/03/2023
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