Lori Anderson, AAC
Individual provider Active NPI Counselor · Longview, WA
NPI 1477070696 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1477070696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- MC60715598 (WA)
- Practice address
- 748 14TH Ave
Longview, WA 98632 - Phone
- (360) 200-5419
- Fax
- (360) 200-6736
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60715598 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC60715598 | WA | Yes |
Addresses
Primary practice location
748 14TH Ave
Longview, WA 98632
Mailing address
PO Box 2394
Longview, WA 98632
Phone (360) 200-5419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101047 | Medicaid | WA |
Other names
- Lori Crabb
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.