Individual
ANANTA LAKSHMI MANASA CHITLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
101 KIERNAN CHOICE, CARY, NC 27511-5537
(919) 909-4359
Mailing address
101 KIERNAN CHOICE, CARY, NC 27511-5537
(919) 909-4359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14460
NC
101YM0800X
Mental Health Counselor
A14460
NC
101YP2500X
Professional Counselor
A14460
NC
Other
Enumeration date
11/05/2018
Last updated
10/21/2022
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