Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A13373 | NC |
NPI | 1003321217 |
---|---|
Provider Name | Brooke Anderson Carr |
First Address | Charlotte, NC 28209-3489 |
Second Address | Charlotte, NC 28211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 07/08/2018 |