Individual
CARRIE RACHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, SEP
Contact information
Practice address
540 S WEST RD APT 30, WICKENBURG, AZ 85390-1177
(317) 771-9564
Mailing address
540 S WEST RD APT 30, WICKENBURG, AZ 85390-1177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
39002481A
IN
101YP2500X
Professional Counselor
Primary
LPC-15620
AZ
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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