Individual
ANDRE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 DARRINGTON DR STE 204, CARY, NC 27513-8134
(915) 882-3600
Mailing address
120 SUDANO CT, HOLLY SPRINGS, NC 27540-7926
(915) 882-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-30611
NC
101YM0800X
Mental Health Counselor
Primary
A22112
NC
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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