Doctor Name: | MS. CHARLOTTE R ANDERSON |
NPI Number: | 1104086792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 1060 Glensboro Rd Lawrenceburg, KY - 403429033 |
Business Phone Number: | 8592531686 |
Business Fax Number: | 8592542743 |
Mailing Address: | 1351 Newtown Pike, LEXINGTON |
State: | KY |
Postal Code: | 405111217 |
Phone Number: | 8592531686 |
Fax Number: | 8592542743 |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |