Provider Demographics
NPI:1942064811
Name:ANDERSON, RHONDA LATRESE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LATRESE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 SW GREEN OAKS BLVD UNIT 171756
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-6275
Mailing Address - Country:US
Mailing Address - Phone:682-226-6847
Mailing Address - Fax:
Practice Address - Street 1:6100 PARADISE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-5296
Practice Address - Country:US
Practice Address - Phone:682-226-6847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92492101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health