Individual
ANNA KATHERINE DEPOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
7200 FALLS OF NEUSE RD STE 300, RALEIGH, NC 27615-5384
(984) 200-2780
Mailing address
7200 FALLS OF NEUSE RD STE 300, RALEIGH, NC 27615-5384
(984) 200-2780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29999
NC
1041C0700X
Clinical Social Worker
Primary
P020608
NC
Other
Enumeration date
09/15/2021
Last updated
12/13/2024
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