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Provider Information for 1841630365


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TRINITI N ANDERSON LPC


Sex: Female

NPI: 1841630365
Last Updated: 2021-12-15
Certification Date: 2021-12-15

Details

NameValue
NPI1841630365
Enumeration Date2013-06-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 11 ROBINSON ST
POTTSTOWN, PA 19464-6421
United States

Phone: 610-326-9250 | Fax:610-327-8726
 
Primary Practice Address 7216 DOSS DR
TIFTON, GA 31794-1908
United States

Phone: 215-421-5756 | Fax:215-421-5756
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGALPC011156