Individual
AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1870 SECOND BAXTER XING, FORT MILL, SC 29708-6401
(704) 904-2494
Mailing address
1870 SECOND BAXTER XING, FORT MILL, SC 29708-6401
(704) 904-2494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12155
NC
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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