Individual
MRS. LAVINA MAE ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, SC
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
(304) 699-2141
Mailing address
1 PEYTON AVE, SAINT ALBANS, WV 25177-2637
(304) 533-8100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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