Provider Demographics
NPI:1033261995
Name:ANDERSON, MARGARET MARY (LPCC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 READING RD
Mailing Address - Street 2:UNIT 203
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1494
Mailing Address - Country:US
Mailing Address - Phone:970-485-0910
Mailing Address - Fax:
Practice Address - Street 1:9415 MONTGOMERY RD
Practice Address - Street 2:SUITE D
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7656
Practice Address - Country:US
Practice Address - Phone:513-502-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101Y00000X101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor