Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN G ANDERSON, LISAC
Active Sole ProprietorELLEN G ANDERSON, LISAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HERNDON, Virginia. NPI 1699916288 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HERNDON, VA
Registration Details
- NPI Number
- 1699916288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2009 (17.457781807693 yrs)
- Last Updated
- Mar 12, 2009
- License
-
LISAC0296 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
457 CARLISLE DRHERNDON, VA, 201704819Browse VA providers · Browse ZIP 20170
- Phone
- 7034645122
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HERNDON, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. LESLIE MARIE MARTIN | LCSW, CSAC | 1831210483 |
| MRS. DESIREE DEBUTTS FARREN | CADC, ICADC | 1942614706 |
| JULIE CANNIFFE DAVIS | LCAS, CSAC, CADC II | 1568150464 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.