Individual
CLAIRE ANDERSON PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, MED
Contact information
Practice address
159 MAXWELL ST, FAYETTEVILLE, NC 28301-5592
(910) 922-0548
Mailing address
692 FAIRFIELD RD, FAYETTEVILLE, NC 28303-5306
(910) 922-0548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031228122
—
NC
Enumeration date
11/16/2018
Last updated
11/16/2018
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