Individual
PROF. JOHN PALMER ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA.ED
Contact information
Practice address
640 HOLLY AVE, WINSTON-SALEM, NC 27101-2716
(336) 725-3999
(336) 725-7720
Mailing address
2505 COUNTRY CLUB RD, WINSTON-SALEM, NC 27104-4105
(336) 413-0143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4296
NC
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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