Provider Demographics
NPI:1669125357
Name:THROM, ANNA LOUISE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ANNA LOUISE
Middle Name:
Last Name:THROM
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 N. HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2604
Mailing Address - Country:US
Mailing Address - Phone:609-933-8369
Mailing Address - Fax:
Practice Address - Street 1:64 N HILL RD
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3910
Practice Address - Country:US
Practice Address - Phone:609-933-8369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2024-10-03
Deactivation Date:2022-03-09
Deactivation Code:
Reactivation Date:2024-09-18
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
NJ37PC01058100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional