Individual
ROSE IFY ANYANWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
3209 GRESHAM LAKE RD, SUITE 146, RALEIGH, NC 27615-3757
(919) 440-8333
Mailing address
4323 SNOWCREST LN, RALEIGH, NC 27616-8838
(919) 440-8333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20306
NC
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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