Katrina M Anderson | New York, NY • PECOS Search

Katrina M Anderson

Counselor

Behavioral Health & Social Service Providers

50 Lexington Ave, New York, NY 10010-2935

PECOS Enrollment

Based on the most recent information from CMS, provider Katrina M Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1932499647
Provider Type
Individual
Full Name
Anderson, Katrina M
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/14/2011
Last Updated
5/18/2011

Contact Information

Practice Location

50 Lexington Ave, New York, NY 10010-2935

Unlisted Fax

Mailing Location

419 E 81st St Apt 1a, New York, NY 10028-5114

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 004690 New York