| Doctor Name: | MRS. MARTHA LEWIS ANDERSON |
| NPI Number: | 1184716482 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701001698 |
| Business Practice Address: | 3310 Eaglebrook Dr Christiansburg, VA - 240738106 |
| Business Phone Number: | 5404492593 |
| Business Fax Number: | 5403829010 |
| Mailing Address: | 3310 Eaglebrook Dr, CHRISTIANSBURG |
| State: | VA |
| Postal Code: | 240738106 |
| Phone Number: | 5404492593 |
| Fax Number: | 5403829010 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 03/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701001698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |