Wellformed AI

NPI 1477058972 · live from the CMS NPI Registry

Marie Elizabeth Anderson, LPC

Counselor, Professional in Fairbanks, AK. National Provider Identifier 1477058972, active.

NPI record

NPI1477058972 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location1825 Marika Rd, Fairbanks, AK 99709
Practice phone907-474-0890
EnumeratedMarch 27, 2018
Last updatedMarch 27, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X124246 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.