Individual
ENJONAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCS, LCAS
Contact information
Practice address
110 W WALKER AVE FL 2, ASHEBORO, NC 27203-6760
(336) 633-7000
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3390
NC
101YP2500X
Professional Counselor
Primary
S-9248
NC
Other
Enumeration date
09/14/2012
Last updated
03/03/2023
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