Provider Demographics
NPI:1548596224
Name:ANDERSON, PAULA A (LCPC, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LCPC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 KNOX RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3380
Mailing Address - Country:US
Mailing Address - Phone:240-582-7513
Mailing Address - Fax:301-979-7504
Practice Address - Street 1:4511 KNOX RD STE 201
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3380
Practice Address - Country:US
Practice Address - Phone:240-582-7513
Practice Address - Fax:301-979-7504
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13844101YP2500X
MDLC2358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional