Individual
STEWART LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11387 COURTHOUSE ROAD, LUNENBURG, VA 23952-0040
(434) 696-1623
(434) 696-1753
Mailing address
60 BUSH RIVER DRIVE, FARMVILLE, VA 23901-0248
(434) 696-1623
(434) 392-9221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528091063
—
VA
Enumeration date
03/02/2010
Last updated
03/02/2010
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