Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Audrey Anderson, LACLCADC

Individual provider Counselor · NPI 1760173264

Mrs. Audrey Anderson, LACLCADC is a Counselor in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

47 Miller Street 2nd Fl
Newark, NJ 07114-1750
Phone: (973) 596-4190
Fax: (973) 639-6583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37LC00334900 (NJ)
Counselor Taxonomy 101Y00000X · Licence 37AC00551600 (NJ)

Record details

NPI number1760173264
Entity typeIndividual (Type 1)
GenderFemale
Credentials LACLCADC
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

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