Individual
ELLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BILLINGSLEY RD, CHARLOTTE, NC 28211-5055
(704) 237-4240
Mailing address
6633 FAIRVIEW RD, CHARLOTTE, NC 28210-3321
(800) 736-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
09/30/2020
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