Individual
ANNA BOULWARE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LCMHCA
Contact information
Practice address
3901 BARRETT DR STE 100, RALEIGH, NC 27609-6523
(919) 900-7552
Mailing address
438 WILEY AVE, WINSTON SALEM, NC 27104-3240
(615) 243-8723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17673
NC
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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