Teresa Anderson, Ed.D, LPC
Counselor, Professional in Conyers, GA. Individual provider (NPI-1).
NPI number1831648468
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1831648468
- Entity type
- Individual (NPI-1)
- Name
- Teresa Anderson
- Credential
- Ed.D, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2016
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC009315 | GA | Yes |
| 101YP2500X | Counselor, Professional | APC003459 | GA |
Practice location
1414 Steam Engine Way NeConyers, GA 30013-1594
Phone 770-262-3263
Mailing address
1414 Steam Engine Way NeConyers, GA 30013-1594
Phone 470-535-7351
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