Ellen G Anderson, LISAC

NPI #1699916288 in Herndon, Virginia

Provider Information

NPI Number: 1699916288
Entity Type: Individual
Name: Ellen G Anderson, LISAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISAC
Enumeration Date: Mar 12, 2009
Last Updated: Mar 12, 2009

Practice Location

Address: 457 CARLISLE DR
City: Herndon
State: Virginia
ZIP Code: 20170-4819
Phone: (703) 464-5122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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