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Lois Shannon Andersen, LMHC

Counselor, Mental Health in Palm Coast, FL. Individual provider (NPI-1).

NPI number1992039986
StatusActive
Last updated in NPPESSep 24, 2009

Details

NPI
1992039986
Entity type
Individual (NPI-1)
Name
Mrs. Lois Shannon Andersen
Credential
LMHC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 24, 2009
Last updated
Sep 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH0003625FLYes

Practice location

134 Hernandez Ave
Palm Coast, FL 32137-3245

Phone 386-503-0380

Mailing address

134 Hernandez Ave
Palm Coast, FL 32137-3245

Phone 386-503-0380

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