Provider Demographics
NPI:1164301099
Name:ANDERSON, ALICIA JOY (LAPC, NCC, CTP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:JOY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LAPC, NCC, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 VALLEY VIEW BLVD REAR BUILDING
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-6527
Mailing Address - Country:US
Mailing Address - Phone:814-201-2310
Mailing Address - Fax:
Practice Address - Street 1:1915 VALLEY VIEW BLVD REAR BUILDING
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-6527
Practice Address - Country:US
Practice Address - Phone:814-201-2310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001666101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional