Individual provider · NPI-1

Elizabeth Regina Anderson, LPC

Counselor, Professional · Conroe, TX

NPI number1912597733
StatusActive
Last updated in NPPESJan 25, 2021

Details

NPI
1912597733
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth Regina Anderson
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 25, 2021
Certification date
Jan 25, 2021
Last updated
Jan 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional79038TXYes

Practice location

3500 W Davis St Ste 250
Conroe, TX 77304-1811

Phone 832-401-9701

Mailing address

10615 Gilford Crest Dr
Spring, TX 77379-3075

Phone 512-876-6145

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