Individual
KATIE C. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9104
(401) 533-9105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00317
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHP RI
RI
05
—
ES01788
—
RI
01
—
SB870
BC RI
RI
Enumeration date
01/08/2007
Last updated
08/12/2025
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