ELLEN G ANDERSON

HERNDON, VA
NPI1699916288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC0296)
Enumeration Date2009-03-12
Last Update Date2009-03-12
Business Address
-- ELLEN G ANDERSON LISAC
457 CARLISLE DR
HERNDON, VA 20170-4819
Phone number: 703-464-5122
Mailing Address
-- ELLEN G ANDERSON LISAC
457 CARLISLE DR
HERNDON, VA 20170-4819
Phone number: 703-464-5122
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