Individual
MR. ANDREW M MUTHEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
103 INDIGO DR, CARY, NC 27513-3319
(919) 971-4435
Mailing address
103 INDIGO DR, CARY, NC 27513-3319
(919) 971-4435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3157
NC
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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