Provider Demographics
NPI:1730356254
Name:EPPERSON, ANNA CATHERINE (LPC)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CATHERINE
Last Name:EPPERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20173
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0018
Mailing Address - Country:US
Mailing Address - Phone:540-520-3830
Mailing Address - Fax:
Practice Address - Street 1:421 WINDWARD DR SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0712
Practice Address - Country:US
Practice Address - Phone:540-520-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701005321OtherVIRGINIA BOARD OF COUNSELING