Anderson, Gary Thomas

Anderson, Gary Thomas is an individual health care provider with primary practice located at 1014 E Market St , Charlottesville VA 22902-5345. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Gary Thomas can be contacted via phone (434) 972-1745.

Contact Information

Primary practice address
1014 E Market St Charlottesville VA 22902-5345
Phone: (434) 972-1745
Fax: (434) 979-5119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0701011605 Virginia

Profile Details

NPI number 1730805508
LBN Legal business name Anderson, Gary Thomas
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Oct 13th, 2022 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730805508 NPPES
Virginia Other 0701011605 LPC LICENSE NUMBER

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