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TERESA ANDERSON ED.D, LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831648468

Individual Registrant:
 TERESA  ANDERSON ED.D, LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
1414 STEAM ENGINE WAY NE  CONYERS, GA 30013-1594 US
Tel: 770-262-3263  Fax: --

Contact information for business:
1414 STEAM ENGINE WAY NE  CONYERS, GA 30013-1594 US
Tel: 470-535-7351  Fax: --

Registration Information:
NPI: 1831648468
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GAAPC003459
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
GALPC009315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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