Anderson, Audrey

Anderson, Audrey is an sole proprietor health care provider with primary practice located at 47 Miller Street 2Nd Floor , Newark NJ 07114-1750. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Anderson, Audrey can be contacted via phone (973) 596-4190.

Contact Information

Primary practice address
47 Miller Street 2Nd Floor Newark NJ 07114-1750
Phone: (973) 596-4190
Fax: (973) 639-6583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37AC00551600 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00334900 New Jersey

Profile Details

NPI number 1760173264
LBN Legal business name Anderson, Audrey
Credentials LAC LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2023
Last updated May 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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