Individual
CHARLES ANDERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1445 HARTFORD TER, ALPHARETTA, GA 30004-0661
(770) 841-1410
Mailing address
1445 HARTFORD TER, ALPHARETTA, GA 30004-0661
(770) 841-1410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006090
GA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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