Individual provider · Type 1 NPI

Jelisa Anderson, LPC-MHSP

Professional Counselor · Germantown, TN

NPI number 1356978175 Active

Practice location

3085 Fountainside Dr Ste 110
Germantown, TN 38138-7840

Call (901) 238-8926 Map

Mailing address

2657 Crossvine Cv S
Cordova, TN 38016-8460

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3760 (TN)

Professional Counselor: Definition to come...

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About NPI 1356978175

Jelisa Anderson, LPC-MHSP's National Provider Identifier is 1356978175, issued on Mar 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Germantown, TN. The record was last updated on Mar 23, 2020.