Jennifer Lynn Anderson, LMHCA
Counselor, Mental Health in Bradenton, FL. Individual provider (NPI-1).
NPI number1497092886
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1497092886
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Anderson
- Credential
- LMHCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2013
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MC60962097 | WA | Yes |
| 101YM0800X | Counselor, Mental Health | 19348 | FL | |
| 103K00000X | Behavior Analyst | – | FL |
Practice location
4034 20th St WBradenton, FL 34205-5002
Phone 855-995-6777
Mailing address
1608 53rd Ave WBradenton, FL 34207-2867
Phone 941-254-4917
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