Search › New Jersey › 101YA0400X
Audrey Anderson, LAC LCADC
NPI 1760173264 · on the registry since 2023 · sole proprietor
Practice
- Address
- 47 Miller Street 2nd Floor
Newark, NJ 07114 - Phone
- (973) 596-4190
- Fax
- (973) 639-6583
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey