Provider Demographics
NPI:1326621525
Name:ANDERSON, RENEE M (LCMHC-A)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:M
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 OLD HAW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1401
Mailing Address - Country:US
Mailing Address - Phone:619-922-9188
Mailing Address - Fax:
Practice Address - Street 1:311 OLD HAW CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1401
Practice Address - Country:US
Practice Address - Phone:619-922-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health