Organization
ALTA TERRA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LARICCHIUTI LMFT (FOUNDER/THERAPIST)
(919) 666-7097
Entity
Organization
Contact information
Practice address
838 STATE FARM RD STE 1, BOONE, NC 28607-5364
(919) 666-7097
Mailing address
838 STATE FARM ROAD, SUITE #1, ROOM #13, BOONE, NC 28607
(919) 666-7097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/26/2022
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