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Individual

CHARITY JUNE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPS

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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