Individual
MR. ANDREW WHITTEMORE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
21024 CATAWBA AVE, CORNELIUS, NC 28031-8585
(336) 355-8084
Mailing address
235 S CHURCH ST, WINSTON SALEM, NC 27101-5305
(336) 355-8084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20312
NC
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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