Provider Demographics
NPI:1386044667
Name:ANDERSON, VERONICA (LMHC, LMFT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 ALASKAN WAY S STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2785
Mailing Address - Country:US
Mailing Address - Phone:206-257-3810
Mailing Address - Fax:206-690-9499
Practice Address - Street 1:300 SPECTRUM CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4989
Practice Address - Country:US
Practice Address - Phone:310-853-8500
Practice Address - Fax:206-690-9499
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19505101YM0800X
WALF61146864106H00000X
CA157796106H00000X
ORC5445101YM0800X
WALH60737678101YM0800X
CA8258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist