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Individual

MRS. ANNA CHATHAM RIPPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCASA

Contact information

Practice address
209 DELBURG ST, SUITE 105, DAVIDSON, NC 28036-6913
(704) 892-8003
Mailing address
2500 LABURNUM AVE, CHARLOTTE, NC 28205-6131
(336) 416-2588

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2525A
NC
101YP2500X
Professional Counselor
Primary
8446
NC
101YP2500X
Professional Counselor
A8446
NC

Other

Enumeration date
05/21/2013
Last updated
06/06/2013
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