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Contact Information

GARY T ANDERSON, LPC
1014 E MARKET ST
CHARLOTTESVILLE, VA22902-5345
 Phone: 434-972-1745
 Fax: 434-979-5119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GARY T ANDERSON · (Male)

NPI # 1730805508
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/13/2022
Last updated 10/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0701011605
  • VA Other 0701011605 LPC LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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