Doctor Name: | MRS. ASHLEY ELIZABETH ANDERSON |
NPI Number: | 1063701704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 178.006667 |
Business Practice Address: | 401 E 162nd St Ste 209 Heritage Center: Refuge Christian Counseling South Holland, IL - 604732237 |
Business Phone Number: | 7083392769 |
Business Fax Number: | 7083396776 |
Mailing Address: | 401 East 162nd St. Suite 209, Heritage Center: Refuge Christian Counseling SOUTH HOLLAND |
State: | IL |
Postal Code: | 604732237 |
Phone Number: | 7083392769 |
Fax Number: | 7083396776 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178.006667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |