Anderson, Charity June
Anderson, Charity June is an sole proprietor health care provider with primary practice located at 312 Clay Brook Dr , Goldsboro NC 27530-5532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is her primary health care specialty. Anderson, Charity June can be contacted via phone (405) 657-8627.Contact Information
Primary practice address
312 Clay Brook Dr
Goldsboro NC 27530-5532
Phone: (405) 657-8627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Prevention Professional | 405300000X | CPS-20838 | North Carolina |
Profile Details
| NPI number | 1144708603 |
|---|---|
| LBN Legal business name | Anderson, Charity June |
| Credentials | CPS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2018 |
| Last updated | Dec 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144708603 | NPPES |
| North Carolina | Other | CPS-20838 | NORTH CAROLINA ADDICTIONS SPECIALIST PROFESSIONAL PRACTICE BOARD |
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