Individual provider · Type 1 NPI
Detrich Omar Anderson, LPC
Professional Counselor · Richmond, VA
NPI number
1114731478
Active
Practice location
4200 Lipes Ct # A
Richmond, VA 23223-1182
Mailing address
4200 Lipes Ct
Richmond, VA 23223-1182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701015683 (VA) |
Professional Counselor: Definition to come...
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About NPI 1114731478
Detrich Omar Anderson, LPC's National Provider Identifier is 1114731478, issued on Feb 5, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, VA. The record was last updated on Mar 16, 2026.