Individual
ANNA SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
4014 MONROE RD, CHARLOTTE, NC 28205-7706
(980) 209-1552
Mailing address
602 GASTON AVE, BELMONT, NC 28012-4013
(919) 649-7476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S11793
NC
Other
Enumeration date
03/18/2016
Last updated
02/27/2025
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