Individual
DALE-AJEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 DURBIN PL, DURHAM, NC 27705-6142
(919) 522-5905
Mailing address
13 DURBIN PL, DURHAM, NC 27705-6142
(919) 522-5905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26189
NC
101YM0800X
Mental Health Counselor
Primary
LCMHC-A16890
NC
Other
Enumeration date
03/17/2022
Last updated
01/08/2025
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