Individual
MS. LYNNETTE CAROLYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1601 MERRIBROOK LN, PHILADELPHIA, PA 19151-2717
(215) 313-0593
Mailing address
1601 MERRIBROOK LN, PHILADELPHIA, PA 19151-2717
(215) 313-0593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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