Individual
MARY KENDALL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
111 KILSON DR, MOORESVILLE, NC 28117-8217
(704) 929-2596
Mailing address
111 KILSON DR, MOORESVILLE, NC 28117-8217
(704) 929-2596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A16641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A16641
LICENSE
NC
Enumeration date
06/29/2021
Last updated
07/07/2022
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