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Individual

MRS. ANNA MILLER SOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS, LCMHCA

Contact information

Practice address
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117-5967
(704) 756-0058
(704) 973-9588
Mailing address
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117-5967
(704) 756-0058
(704) 873-6647

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21123
NC
101YP2500X
Professional Counselor
Primary
A15487
NC

Other

Enumeration date
02/05/2015
Last updated
03/05/2020
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