Individual
CHARITY JUNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
312 CLAY BROOK DR, GOLDSBORO, NC 27530-5532
(405) 657-8627
Mailing address
PO BOX 76112, COLORADO SPRINGS, CO 80970-6112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
405300000X
Prevention Professional
Primary
CPS-20838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPS-20838
NORTH CAROLINA ADDICTIONS SPECIALIST PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
08/06/2018
Last updated
12/04/2023
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