Individual
MRS. ANNETTE TYLER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 900-6333
Mailing address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 900-6333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26742
NC
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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