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1730805508
GARY THOMAS ANDERSON
CHARLOTTESVILLE, VA
NPI
1730805508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0701011605)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
GARY THOMAS ANDERSON LPC
1014 E MARKET ST
CHARLOTTESVILLE, VA 22902-5345
Phone number: 434-972-1745
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Mailing Address
GARY THOMAS ANDERSON LPC
953 INDIAN CREEK RD
AMHERST, VA 24521-5002
Phone number: 434-221-2168
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