Provider Demographics
NPI:1629490867
Name:ANDERSON, CHRISHA (PHD, LPCC)
Entity Type:Individual
Prefix:DR
First Name:CHRISHA
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 941
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-0941
Mailing Address - Country:US
Mailing Address - Phone:513-800-0670
Mailing Address - Fax:
Practice Address - Street 1:8581 S MASON MONTGOMERY RD STE 4
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9250
Practice Address - Country:US
Practice Address - Phone:513-800-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health