Individual
CORRINE M ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 COX RD STE C, GASTONIA, NC 28054-3432
(704) 807-2488
Mailing address
3641 ENGLISH GARDEN DR, GASTONIA, NC 28056-8083
(704) 807-2488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13957
NC
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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