Individual
ANDREW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2008 LIBBIE AVE STE 101, RICHMOND, VA 23226-1838
(804) 665-4681
Mailing address
219 E BANK ST APT 211, PETERSBURG, VA 23803-3420
(704) 277-0201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701008769
VA
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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