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Individual

MARKITA B. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, M.S., NCC, LPC

Contact information

Practice address
59595 BELLEVIEW RD, PLAQUEMINE, LA 70764-6500
(866) 530-6111
Mailing address
58725 BELLEVIEW RD STE A2, PLAQUEMINE, LA 70764-3948
(225) 286-9333
(866) 601-5333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
6972
LA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600720433
LA
05
600751961
LA
Enumeration date
10/19/2015
Last updated
01/09/2023
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