Individual
MRS. SUSAN LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
324 E SAINT JOHN ST, SPARTANBURG, SC 29302-1505
(864) 707-1952
Mailing address
324 E SAINT JOHN ST, SPARTANBURG, SC 29302-1505
(864) 707-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
07/20/2009
Last updated
11/03/2015
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