Provider Demographics
NPI:1861006215
Name:ASKERNEESE, ANNE (LPCC, LCPC, ART-BC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:ASKERNEESE
Suffix:
Gender:F
Credentials:LPCC, LCPC, ART-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 W LUTGE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-3322
Mailing Address - Country:US
Mailing Address - Phone:818-288-1812
Mailing Address - Fax:
Practice Address - Street 1:354 W LUTGE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-3322
Practice Address - Country:US
Practice Address - Phone:818-288-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003151101YP2500X
CA2061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional