Provider Demographics
NPI:1497914592
Name:ANDERSON, MARGARET ESPINOZA (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ESPINOZA
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ESPINOZA
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:4176 SULGRAVE CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-1277
Mailing Address - Country:US
Mailing Address - Phone:336-765-9169
Mailing Address - Fax:
Practice Address - Street 1:4176 SULGRAVE CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-1277
Practice Address - Country:US
Practice Address - Phone:336-765-9169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4165101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health