Individual
ANNA GRACE TAGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7490 WATERSIDE CROSSING BLVD STE 2A, DENVER, NC 28037-3004
(704) 360-3637
Mailing address
7490 WATERSIDE CROSSING BLVD STE 2A, DENVER, NC 28037-3004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A16970
NC
101YM0800X
Mental Health Counselor
Primary
16970
NC
101YP2500X
Professional Counselor
A16970
NC
Other
Enumeration date
09/16/2021
Last updated
02/11/2026
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