Organization
FIREWEED CHILD & ADOLESCENT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA CHRISTINE ANDERSON MA, LPCC (OWNER)
(419) 280-2165
Entity
Organization
Contact information
Practice address
1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411
(419) 280-2165
(419) 715-7067
Mailing address
1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411
(419) 280-2165
(419) 715-7067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273324
—
OH
Enumeration date
10/10/2019
Last updated
04/09/2020
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