Individual
ANNA PEARL EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, NCC, LCMHCA
Contact information
Practice address
1558 UNION RD STE G, GASTONIA, NC 28054-2215
(980) 251-6054
Mailing address
300 S FIRESTONE ST, APT 339, GASTONIA, NC 28052
(980) 251-6054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17391
NC
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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