Individual
G. WILLIAM ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LPC
Contact information
Practice address
820 ROTCH AVE NE, MASSILLON, OH 44646-4479
(330) 830-2311
Mailing address
325 LAKE AVE NE, MASSILLON, OH 44646-4349
(330) 830-3121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C0701108
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0701108
OH
101YM0800X
Mental Health Counselor
C0701108
OH
101YP1600X
Pastoral Counselor
C0701108
OH
101YP2500X
Professional Counselor
Primary
C0701108
OH
106H00000X
Marriage & Family Therapist
C0701108
OH
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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