Healthcare Provider Details

I. General information

NPI: 1861006215
Provider Name (Legal Business Name): ANNE ASKERNEESE LPCC, LCPC, ART-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 W LUTGE AVE
BURBANK CA
91506-3322
US

IV. Provider business mailing address

354 W LUTGE AVE
BURBANK CA
91506-3322
US

V. Phone/Fax

Practice location:
  • Phone: 818-288-1812
  • Fax:
Mailing address:
  • Phone: 818-288-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2061
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180-003151
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: