| Doctor Name: | STEWART LEE ANDERSON |
| NPI Number: | 1902129174 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 0701004784 |
| Business Practice Address: | 11387 Courthouse Road Lunenburg, VA - 239520040 |
| Business Phone Number: | 4346961623 |
| Business Fax Number: | 4346961753 |
| Mailing Address: | 60 Bush River Drive, FARMVILLE |
| State: | VA |
| Postal Code: | 239010248 |
| Phone Number: | 4346961623 |
| Fax Number: | 4343929221 |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701004784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |