Organization
ANIWAYA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICHOLE CROWE MSW, LCSW (OWNER/MH PROVIDER)
(828) 273-8108
Entity
Organization
Contact information
Practice address
202 S OLD STATESVILLE RD, HUNTERSVILLE, NC 28078-9700
(828) 273-8108
(704) 582-6207
Mailing address
4648 KIPLING DR, CHARLOTTE, NC 28212-5332
(828) 273-8108
(704) 582-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164824843
—
NC
Enumeration date
11/06/2019
Last updated
11/06/2019
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