Individual
MS. ANN E PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC,LPC, LCAS
Contact information
Practice address
1873 QUAIL RIDGE RD APT J, GREENVILLE, NC 27858-0909
(252) 347-7611
Mailing address
1873 QUAIL RIDGE RD APT J, GREENVILLE, NC 27858-0909
(252) 347-7611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1064
NC
101YP2500X
Professional Counselor
Primary
3031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187388
MEDCOST
NC
05
—
6102460
—
NC
Enumeration date
04/10/2007
Last updated
08/31/2021
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