Individual
SHANTE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
940 W LEBANON ST, MOUNT AIRY, NC 27030-2222
(336) 783-6919
Mailing address
2008 SPRINGS RD, MOUNT AIRY, NC 27030-2446
(704) 401-9697
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28335
NC
Other
Enumeration date
11/18/2022
Last updated
08/19/2025
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