Individual
CHARLES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2909 ROTTERDAM LOOP, WOODBRIDGE, VA 22191-6226
(804) 385-1429
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(804) 385-1429
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
0810003796
VA
103TC1900X
Counseling Psychologist
Primary
PSY-2025-0051
NM
Other
Enumeration date
07/03/2007
Last updated
10/30/2025
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