Ashle' D Anderson, LPC

Individual provider Active NPI Professional Counselor · Griffith, IN

NPI 1154022242 · NPPES record last updated Mar 15, 2023

Key facts

NPI
1154022242
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178.018958 (IL)
Practice address
1925 N Arbogast St Apt 2K
Griffith, IN 46319-1223
Phone
(773) 621-4077
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
178.018958ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.018958 IL Yes

Addresses

Primary practice location

1925 N Arbogast St Apt 2K
Griffith, IN 46319-1223

Mailing address

1925 N Arbogast St Apt 2K
Griffith, IN 46319-1223
Phone (773) 621-4077

Other providers in Griffith, IN

All providers in Griffith, IN · Professional Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.