Individual provider · Type 1 NPI

Mary Lu Anderson, LCSW, RN, CSAC

Mental Health Counselor · Madison, WI

NPI number 1194908673 Active

Practice location

5013 E Buckeye Rd
Madison, WI 53716-2301

Call (608) 222-8654 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1911-132 (WI)
Mental Health Counselor Primary 101YM0800X973-123 (WI)
Registered Nurse 163W00000X41435-030 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1194908673

Mary Lu Anderson, LCSW, RN, CSAC's National Provider Identifier is 1194908673, issued on Dec 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Dec 7, 2007.